Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.88 / $4,962.67 / $15,341.00	Facility		$1,404.88	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.48 / $1,402.64 / $1,682.77	Professional		$1,197.48	$1,402.64	$1,682.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $839.01 / $1,161.88 / $1,524.90	Facility		$839.01	$1,161.88	$1,524.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.58 / $1,195.95 / $1,291.76	Facility		$872.58	$1,195.95	$1,291.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.45 / $1,260.79 / $2,919.00	Facility		$848.45	$1,260.79	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00