Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.08 / $7,074.00 / $20,400.00	Facility		$1,514.08	$7,074.00	$20,400.00
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 $1,394.69 / $1,634.44 / $1,959.89	Professional		$1,394.69	$1,634.44	$1,959.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.97 / $1,406.91 / $1,858.95	Facility		$1,065.97	$1,406.91	$1,858.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,061.54 / $1,467.97 / $1,520.48	Facility		$1,061.54	$1,467.97	$1,520.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,065.97 / $1,524.34 / $5,217.00	Facility		$1,065.97	$1,524.34	$5,217.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00