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 $1,504.56 / $1,770.35 / $2,114.29	Professional		$1,504.56	$1,770.35	$2,114.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.74 / $1,505.58 / $2,075.69	Facility		$1,074.74	$1,505.58	$2,075.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,138.95 / $1,593.20 / $1,660.56	Facility		$1,138.95	$1,593.20	$1,660.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,093.40 / $1,645.86 / $5,217.00	Facility		$1,093.40	$1,645.86	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
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