Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.14 / $7,920.26 / $20,400.00	Facility		$1,473.14	$7,920.26	$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 $1,222.70 / $1,455.72 / $1,746.45	Professional		$1,222.70	$1,455.72	$1,746.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $833.90 / $1,184.20 / $1,504.50	Facility		$833.90	$1,184.20	$1,504.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $844.48 / $1,167.81 / $1,325.26	Facility		$844.48	$1,167.81	$1,325.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.28 / $1,280.27 / $5,217.00	Facility		$849.28	$1,280.27	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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