Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.07 / $2,608.61 / $11,546.30	Facility		$1,108.07	$2,608.61	$11,546.30
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 $1,030.02 / $1,209.70 / $1,447.44	Professional		$1,030.02	$1,209.70	$1,447.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $778.38 / $1,052.94 / $1,361.70	Facility		$778.38	$1,052.94	$1,361.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $768.90 / $1,063.29 / $1,112.86	Facility		$768.90	$1,063.29	$1,112.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $778.38 / $1,113.08 / $2,402.00	Facility		$778.38	$1,113.08	$2,402.00
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