Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.77 / $7,920.26 / $20,400.00	Facility		$2,318.77	$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 $1,948.30 / $2,285.78 / $2,737.86	Professional		$1,948.30	$2,285.78	$2,737.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.71 / $1,903.40 / $2,566.15	Facility		$1,355.71	$1,903.40	$2,566.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,475.30 / $2,001.03 / $2,139.98	Facility		$1,475.30	$2,001.03	$2,139.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.71 / $1,938.96 / $2,715.89	Facility		$1,355.71	$1,938.96	$2,715.89
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00