Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.06 / $4,962.67 / $15,341.00	Facility		$1,325.06	$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 $1,117.93 / $1,309.46 / $1,570.97	Professional		$1,117.93	$1,309.46	$1,570.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $804.37 / $1,090.20 / $1,479.00	Facility		$804.37	$1,090.20	$1,479.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.42 / $1,169.15 / $1,216.72	Facility		$846.42	$1,169.15	$1,216.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $821.39 / $1,210.78 / $2,919.00	Facility		$821.39	$1,210.78	$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 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00