Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.35 / $7,220.00 / $13,320.00	Facility		$1,370.35	$7,220.00	$13,320.00
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 $1,159.26 / $1,357.87 / $1,629.05	Professional		$1,159.26	$1,357.87	$1,629.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $615.95 / $1,043.63 / $1,504.50	Facility		$615.95	$1,043.63	$1,504.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.40 / $1,180.54 / $1,268.98	Facility		$724.40	$1,180.54	$1,268.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.58 / $1,202.80 / $5,217.00	Facility		$628.58	$1,202.80	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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