Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.69 / $2,747.00 / $13,320.00	Facility		$1,176.69	$2,747.00	$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 $1,278.40 / $1,500.39 / $1,800.04	Professional		$1,278.40	$1,500.39	$1,800.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.81 / $1,195.92 / $1,566.55	Facility		$899.81	$1,195.92	$1,566.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $888.28 / $1,233.47 / $1,378.19	Facility		$888.28	$1,233.47	$1,378.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $907.13 / $1,318.02 / $2,748.00	Facility		$907.13	$1,318.02	$2,748.00
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 $1,981.00 / $9,529.00 / $26,830.35	Facility		$1,981.00	$9,529.00	$26,830.35