Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.43 / $4,962.67 / $15,341.00	Facility		$1,290.43	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.71 / $1,288.11 / $1,545.37	Professional		$1,099.71	$1,288.11	$1,545.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.15 / $1,048.95 / $1,404.20	Facility		$738.15	$1,048.95	$1,404.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.06 / $1,089.42 / $1,185.90	Facility		$795.06	$1,089.42	$1,185.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.05 / $1,140.80 / $2,919.00	Facility		$766.05	$1,140.80	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00