Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.72 / $4,962.67 / $15,341.00	Facility		$1,646.72	$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 $2,110.48 / $2,479.86 / $2,965.76	Professional		$2,110.48	$2,479.86	$2,965.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.73 / $2,065.21 / $2,837.30	Facility		$1,148.73	$2,065.21	$2,837.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,569.98 / $2,231.69 / $2,313.51	Facility		$1,569.98	$2,231.69	$2,313.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,154.86 / $2,256.71 / $3,465.67	Facility		$1,154.86	$2,256.71	$3,465.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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