Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.21 / $7,074.00 / $20,400.00	Facility		$1,574.21	$7,074.00	$20,400.00
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 $1,335.96 / $1,564.84 / $1,877.36	Professional		$1,335.96	$1,564.84	$1,877.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.81 / $1,275.03 / $1,744.20	Facility		$790.81	$1,275.03	$1,744.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.33 / $1,372.16 / $1,457.92	Facility		$963.33	$1,372.16	$1,457.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $862.97 / $1,424.45 / $5,217.00	Facility		$862.97	$1,424.45	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$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