Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.33 / $7,920.26 / $20,400.00	Facility		$1,550.33	$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 $1,287.93 / $1,532.90 / $1,839.04	Professional		$1,287.93	$1,532.90	$1,839.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.10 / $1,247.44 / $1,581.85	Facility		$875.10	$1,247.44	$1,581.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $888.09 / $1,228.10 / $1,396.95	Facility		$888.09	$1,228.10	$1,396.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.29 / $1,344.83 / $5,217.00	Facility		$892.29	$1,344.83	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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