Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.34 / $7,920.26 / $20,400.00	Facility		$1,962.34	$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 $1,637.38 / $1,917.90 / $2,300.94	Professional		$1,637.38	$1,917.90	$2,300.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.41 / $1,590.30 / $2,061.25	Facility		$1,137.41	$1,590.30	$2,061.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,186.54 / $1,623.93 / $1,793.59	Facility		$1,186.54	$1,623.93	$1,793.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,111.98 / $1,590.30 / $2,287.69	Facility		$1,111.98	$1,590.30	$2,287.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,842.83 / $18,493.50 / $25,243.99	Facility		$7,842.83	$18,493.50	$25,243.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00