Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.23 / $7,074.00 / $20,400.00	Facility		$1,199.23	$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 $1,147.25 / $1,343.80 / $1,612.17	Professional		$1,147.25	$1,343.80	$1,612.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.46 / $1,119.18 / $1,475.01	Facility		$802.46	$1,119.18	$1,475.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $844.48 / $1,155.75 / $1,239.50	Facility		$844.48	$1,155.75	$1,239.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,207.91 / $5,217.00	Facility		$842.00	$1,207.91	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$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