Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,909.12 / $4,684.68 / $8,728.00	Facility		$1,909.12	$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 $1,776.52 / $2,081.44 / $2,496.46	Professional		$1,776.52	$2,081.44	$2,496.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.20 / $1,733.52 / $2,323.90	Facility		$1,276.20	$1,733.52	$2,323.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,335.28 / $1,807.80 / $1,930.94	Facility		$1,335.28	$1,807.80	$1,930.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,259.43 / $1,775.52 / $2,465.32	Facility		$1,259.43	$1,775.52	$2,465.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,199.91 / $4,757.80 / $5,787.58	Facility		$2,199.91	$4,757.80	$5,787.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00