Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.99 / $7,920.26 / $20,400.00	Facility		$1,592.99	$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 $1,356.57 / $1,588.99 / $1,906.33	Professional		$1,356.57	$1,588.99	$1,906.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.90 / $1,326.18 / $1,768.85	Facility		$1,008.90	$1,326.18	$1,768.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,014.06 / $1,380.87 / $1,479.36	Facility		$1,014.06	$1,380.87	$1,479.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.90 / $1,442.73 / $5,217.00	Facility		$1,008.90	$1,442.73	$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 / $20,708.00 / $26,830.35	Facility		$3,028.00	$20,708.00	$26,830.35