Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.07 / $7,920.26 / $20,400.00	Facility		$1,452.07	$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 $1,208.30 / $1,434.69 / $1,721.22	Professional		$1,208.30	$1,434.69	$1,721.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.32 / $1,151.49 / $1,447.04	Facility		$932.32	$1,151.49	$1,447.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.02 / $1,122.92 / $1,307.17	Facility		$812.02	$1,122.92	$1,307.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.32 / $1,229.05 / $5,217.00	Facility		$932.32	$1,229.05	$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