Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.19 / $7,920.26 / $20,400.00	Facility		$1,375.19	$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 $1,138.04 / $1,357.71 / $1,628.87	Professional		$1,138.04	$1,357.71	$1,628.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,108.20 / $1,403.35	Facility		$776.25	$1,108.20	$1,403.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $785.86 / $1,086.74 / $1,231.46	Facility		$785.86	$1,086.74	$1,231.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,196.46 / $5,217.00	Facility		$842.00	$1,196.46	$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