Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,684.94 / $2,747.00 / $7,920.26	Facility		$1,684.94	$2,747.00	$7,920.26
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 $1,493.24 / $1,764.00 / $2,098.38	Professional		$1,493.24	$1,764.00	$2,098.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.90 / $1,590.17 / $2,125.00	Facility		$1,177.90	$1,590.17	$2,125.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,215.60 / $1,587.49 / $1,698.45	Facility		$1,215.60	$1,587.49	$1,698.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,133.17 / $1,613.72 / $2,181.29	Facility		$1,133.17	$1,613.72	$2,181.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00