Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.49 / $3,925.18 / $15,341.00	Facility		$1,078.49	$3,925.18	$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 $1,389.63 / $1,627.90 / $1,952.78	Professional		$1,389.63	$1,627.90	$1,952.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.68 / $1,388.28 / $1,849.60	Facility		$1,062.68	$1,388.28	$1,849.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.73 / $1,439.50 / $1,520.90	Facility		$1,055.73	$1,439.50	$1,520.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,062.68 / $1,519.63 / $2,615.41	Facility		$1,062.68	$1,519.63	$2,615.41
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00