Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.03 / $4,962.67 / $15,341.00	Facility		$1,261.03	$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 $1,064.22 / $1,246.55 / $1,495.50	Professional		$1,064.22	$1,246.55	$1,495.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $762.91 / $1,034.78 / $1,407.60	Facility		$762.91	$1,034.78	$1,407.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $799.91 / $1,104.16 / $1,153.74	Facility		$799.91	$1,104.16	$1,153.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.27 / $1,153.44 / $2,919.00	Facility		$766.27	$1,153.44	$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 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00