Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.90 / $5,957.50 / $13,320.00	Facility		$1,011.90	$5,957.50	$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 $1,087.33 / $1,273.61 / $1,527.98	Professional		$1,087.33	$1,273.61	$1,527.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $822.69 / $1,063.29 / $1,433.10	Facility		$822.69	$1,063.29	$1,433.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $814.44 / $1,123.58 / $1,179.86	Facility		$814.44	$1,123.58	$1,179.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $822.69 / $1,176.45 / $5,217.00	Facility		$822.69	$1,176.45	$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