Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.62 / $7,920.26 / $20,400.00	Facility		$1,559.62	$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 $1,337.52 / $1,569.45 / $1,882.89	Professional		$1,337.52	$1,569.45	$1,882.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $940.33 / $1,378.80 / $1,912.29	Facility		$940.33	$1,378.80	$1,912.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.67 / $1,320.91 / $1,433.80	Facility		$963.67	$1,320.91	$1,433.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.51 / $1,444.17 / $5,217.00	Facility		$956.51	$1,444.17	$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