Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.95 / $7,920.26 / $20,400.00	Facility		$2,736.95	$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 $2,528.92 / $2,967.53 / $3,553.79	Professional		$2,528.92	$2,967.53	$3,553.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,832.81 / $2,471.32 / $3,340.50	Facility		$1,832.81	$2,471.32	$3,340.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,916.68 / $2,593.15 / $2,768.44	Facility		$1,916.68	$2,593.15	$2,768.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,826.98 / $2,551.67 / $3,530.22	Facility		$1,826.98	$2,551.67	$3,530.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
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