Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.89 / $5,116.62 / $13,320.00	Facility		$1,232.89	$5,116.62	$13,320.00
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 $1,155.82 / $1,376.13 / $1,650.96	Professional		$1,155.82	$1,376.13	$1,650.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $752.86 / $1,089.27 / $1,381.14	Facility		$752.86	$1,089.27	$1,381.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $762.52 / $1,065.30 / $1,250.89	Facility		$762.52	$1,065.30	$1,250.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,161.15 / $5,217.00	Facility		$842.00	$1,161.15	$5,217.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00