Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.65 / $7,920.26 / $20,400.00	Facility		$1,475.65	$7,920.26	$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 $1,247.72 / $1,468.15 / $1,753.36	Professional		$1,247.72	$1,468.15	$1,753.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $936.45 / $1,294.46 / $1,671.10	Facility		$936.45	$1,294.46	$1,671.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $953.01 / $1,283.72 / $1,361.44	Facility		$953.01	$1,283.72	$1,361.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $936.45 / $1,386.00 / $2,748.00	Facility		$936.45	$1,386.00	$2,748.00
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00