Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $8,878.56 / $15,831.76	Facility		$1,924.00	$8,878.56	$15,831.76
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 $1,687.71 / $1,976.85 / $2,371.66	Professional		$1,687.71	$1,976.85	$2,371.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,646.10 / $2,209.15	Facility		$1,264.58	$1,646.10	$2,209.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,268.91 / $1,739.32 / $1,837.81	Facility		$1,268.91	$1,739.32	$1,837.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,698.48 / $2,334.03	Facility		$1,264.58	$1,698.48	$2,334.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00