Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.24 / $5,116.62 / $20,400.00	Facility		$1,296.24	$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 $1,075.33 / $1,279.01 / $1,534.44	Professional		$1,075.33	$1,279.01	$1,534.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $711.94 / $1,041.59 / $1,293.18	Facility		$711.94	$1,041.59	$1,293.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $722.39 / $998.97 / $1,166.47	Facility		$722.39	$998.97	$1,166.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.74 / $1,096.84 / $5,217.00	Facility		$792.74	$1,096.84	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00