Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.33 / $4,962.67 / $15,341.00	Facility		$1,226.33	$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 $1,052.29 / $1,235.92 / $1,482.75	Professional		$1,052.29	$1,235.92	$1,482.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $557.11 / $934.15 / $1,335.35	Facility		$557.11	$934.15	$1,335.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $734.92 / $1,038.38 / $1,124.93	Facility		$734.92	$1,038.38	$1,124.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.11 / $1,089.83 / $2,919.00	Facility		$571.11	$1,089.83	$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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00