Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$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 $1,319.13 / $1,545.12 / $1,853.71	Professional		$1,319.13	$1,545.12	$1,853.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $904.72 / $1,286.50 / $1,674.50	Facility		$904.72	$1,286.50	$1,674.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $957.37 / $1,316.89 / $1,437.82	Facility		$957.37	$1,316.89	$1,437.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $909.81 / $1,354.51 / $2,121.00	Facility		$909.81	$1,354.51	$2,121.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00