Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.69 / $7,920.26 / $20,400.00	Facility		$1,256.69	$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 $1,055.67 / $1,241.46 / $1,483.48	Professional		$1,055.67	$1,241.46	$1,483.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $752.05 / $1,055.01 / $1,409.30	Facility		$752.05	$1,055.01	$1,409.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $807.18 / $1,110.19 / $1,165.13	Facility		$807.18	$1,110.19	$1,165.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.63 / $1,132.03 / $5,217.00	Facility		$791.63	$1,132.03	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00