Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.09 / $7,920.26 / $20,400.00	Facility		$1,544.09	$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 $1,278.67 / $1,521.79 / $1,825.72	Professional		$1,278.67	$1,521.79	$1,825.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $873.39 / $1,238.76 / $1,580.15	Facility		$873.39	$1,238.76	$1,580.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $887.60 / $1,227.44 / $1,388.91	Facility		$887.60	$1,227.44	$1,388.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.96 / $1,342.75 / $5,217.00	Facility		$891.96	$1,342.75	$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