Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.10 / $4,962.67 / $15,341.00	Facility		$1,446.10	$4,962.67	$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 $1,229.34 / $1,441.52 / $1,727.55	Professional		$1,229.34	$1,441.52	$1,727.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.35 / $1,249.41 / $1,631.15	Facility		$923.35	$1,249.41	$1,631.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $929.76 / $1,279.03 / $1,323.92	Facility		$929.76	$1,279.03	$1,323.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.35 / $1,320.39 / $2,919.00	Facility		$923.35	$1,320.39	$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