Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $20,400.00	Facility		$1,924.00	$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 $1,745.20 / $2,044.82 / $2,452.46	Professional		$1,745.20	$2,044.82	$2,452.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,256.72 / $1,703.61 / $2,283.94	Facility		$1,256.72	$1,703.61	$2,283.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,313.96 / $1,777.02 / $1,902.80	Facility		$1,313.96	$1,777.02	$1,902.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,251.76 / $1,766.16 / $2,422.42	Facility		$1,251.76	$1,766.16	$2,422.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,472.03 / $9,164.84 / $11,765.12	Facility		$4,472.03	$9,164.84	$11,765.12
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