Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.44 / $2,747.00 / $13,320.00	Facility		$1,119.44	$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 $1,085.06 / $1,270.96 / $1,524.78	Professional		$1,085.06	$1,270.96	$1,524.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $786.73 / $1,056.48 / $1,363.40	Facility		$786.73	$1,056.48	$1,363.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $783.44 / $1,077.35 / $1,163.79	Facility		$783.44	$1,077.35	$1,163.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $788.88 / $1,127.35 / $5,217.00	Facility		$788.88	$1,127.35	$5,217.00
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