Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,792.00 / $7,920.26	Facility		$1,486.00	$2,792.00	$7,920.26
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 $1,542.86 / $1,808.72 / $2,168.11	Professional		$1,542.86	$1,808.72	$2,168.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.68 / $1,576.44 / $2,030.65	Facility		$1,125.68	$1,576.44	$2,030.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,162.32 / $1,579.86 / $1,685.72	Facility		$1,162.32	$1,579.86	$1,685.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.73 / $1,669.85 / $2,919.00	Facility		$1,167.73	$1,669.85	$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