Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.92 / $7,074.00 / $20,400.00	Facility		$1,532.92	$7,074.00	$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 $1,434.69 / $1,694.46 / $2,032.87	Professional		$1,434.69	$1,694.46	$2,032.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $957.81 / $1,316.17 / $1,738.25	Facility		$957.81	$1,316.17	$1,738.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.93 / $1,364.79 / $1,551.05	Facility		$986.93	$1,364.79	$1,551.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.66 / $1,469.31 / $5,217.00	Facility		$986.66	$1,469.31	$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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00