Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$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 $1,600.82 / $1,875.08 / $2,249.56	Professional		$1,600.82	$1,875.08	$2,249.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.30 / $1,550.21 / $2,039.31	Facility		$1,029.30	$1,550.21	$2,039.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,171.58 / $1,604.65 / $1,736.04	Facility		$1,171.58	$1,604.65	$1,736.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,107.92 / $1,671.70 / $2,981.80	Facility		$1,107.92	$1,671.70	$2,981.80
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