Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.64 / $5,116.62 / $20,400.00	Facility		$1,640.64	$5,116.62	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,406.98 / $1,648.02 / $1,977.16	Professional		$1,406.98	$1,648.02	$1,977.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.38 / $1,318.04 / $1,822.40	Facility		$919.38	$1,318.04	$1,822.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,038.77 / $1,421.07 / $1,514.87	Facility		$1,038.77	$1,421.07	$1,514.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.33 / $1,485.31 / $5,217.00	Facility		$975.33	$1,485.31	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $10,749.25	Facility		$1,689.00	$5,517.00	$10,749.25