Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.21 / $5,116.62 / $20,400.00	Facility		$2,002.21	$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 $1,865.88 / $2,206.83 / $2,647.56	Professional		$1,865.88	$2,206.83	$2,647.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.14 / $1,748.16 / $2,334.94	Facility		$1,288.14	$1,748.16	$2,334.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,282.16 / $1,827.76 / $2,014.69	Facility		$1,282.16	$1,827.76	$2,014.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.80 / $1,966.29 / $5,217.00	Facility		$1,318.80	$1,966.29	$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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00