Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.14 / $7,074.00 / $16,579.65	Facility		$1,211.14	$7,074.00	$16,579.65
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 $1,147.16 / $1,343.69 / $1,612.05	Professional		$1,147.16	$1,343.69	$1,612.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $815.29 / $1,115.47 / $1,490.05	Facility		$815.29	$1,115.47	$1,490.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.91 / $1,164.46 / $1,234.14	Facility		$846.91	$1,164.46	$1,234.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.59 / $1,225.27 / $5,217.00	Facility		$853.59	$1,225.27	$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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00