Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.62 / $7,920.26 / $20,400.00	Facility		$1,378.62	$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 $1,154.09 / $1,366.41 / $1,621.81	Professional		$1,154.09	$1,366.41	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $867.61 / $1,197.22 / $1,618.38	Facility		$867.61	$1,197.22	$1,618.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $909.89 / $1,229.68 / $1,285.06	Facility		$909.89	$1,229.68	$1,285.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $867.61 / $1,306.07 / $5,217.00	Facility		$867.61	$1,306.07	$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 $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00