Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.73 / $7,920.26 / $32,648.12	Facility		$1,649.73	$7,920.26	$32,648.12
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 $1,403.47 / $1,643.91 / $1,972.22	Professional		$1,403.47	$1,643.91	$1,972.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.32 / $1,365.24 / $1,808.80	Facility		$1,046.32	$1,365.24	$1,808.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,033.44 / $1,403.65 / $1,528.94	Facility		$1,033.44	$1,403.65	$1,528.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,046.32 / $1,484.96 / $5,217.00	Facility		$1,046.32	$1,484.96	$5,217.00
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00