Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$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 $1,497.80 / $1,754.41 / $2,104.79	Professional		$1,497.80	$1,754.41	$2,104.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.58 / $1,458.86 / $1,949.90	Facility		$1,067.58	$1,458.86	$1,949.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,113.38 / $1,513.05 / $1,626.09	Facility		$1,113.38	$1,513.05	$1,626.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.58 / $1,552.98 / $2,421.33	Facility		$1,067.58	$1,552.98	$2,421.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $3,290.00 / $6,216.00	Facility		$676.00	$3,290.00	$6,216.00