Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,945.92 / $4,684.68 / $8,728.00	Facility		$1,945.92	$4,684.68	$8,728.00
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 $1,825.00 / $2,137.67 / $2,564.59	Professional		$1,825.00	$2,137.67	$2,564.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.75 / $1,780.02 / $2,371.50	Facility		$1,300.75	$1,780.02	$2,371.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,332.13 / $1,847.10 / $1,985.88	Facility		$1,332.13	$1,847.10	$1,985.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,276.46 / $1,818.72 / $2,539.12	Facility		$1,276.46	$1,818.72	$2,539.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $325.77 / $704.57 / $914.87	Facility		$325.77	$704.57	$914.87
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00