Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.53 / $3,925.18 / $15,341.00	Facility		$938.53	$3,925.18	$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 $1,211.41 / $1,418.96 / $1,702.34	Professional		$1,211.41	$1,418.96	$1,702.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $873.21 / $1,179.85 / $1,587.80	Facility		$873.21	$1,179.85	$1,587.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $904.08 / $1,250.22 / $1,311.86	Facility		$904.08	$1,250.22	$1,311.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,309.29 / $2,919.00	Facility		$900.00	$1,309.29	$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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00