Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.35 / $7,920.26 / $20,400.00	Facility		$2,021.35	$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 $1,870.67 / $2,192.08 / $2,628.77	Professional		$1,870.67	$2,192.08	$2,628.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,422.37 / $1,836.09 / $2,455.65	Facility		$1,422.37	$1,836.09	$2,455.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.80 / $1,905.40 / $2,044.17	Facility		$1,412.80	$1,905.40	$2,044.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,422.37 / $1,903.68 / $2,615.48	Facility		$1,422.37	$1,903.68	$2,615.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00