Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.15 / $1,478.64 / $1,773.95	Professional		$1,246.15	$1,478.64	$1,773.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $820.48 / $1,170.49 / $1,488.36	Facility		$820.48	$1,170.49	$1,488.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $834.46 / $1,161.10 / $1,346.70	Facility		$834.46	$1,161.10	$1,346.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.47 / $1,265.59 / $2,919.00	Facility		$840.47	$1,265.59	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$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