Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.61 / $7,920.26 / $20,400.00	Facility		$1,575.61	$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 $1,312.77 / $1,551.97 / $1,844.77	Professional		$1,312.77	$1,551.97	$1,844.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.95 / $1,330.31 / $1,789.25	Facility		$1,003.95	$1,330.31	$1,789.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,016.48 / $1,384.89 / $1,425.28	Facility		$1,016.48	$1,384.89	$1,425.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.95 / $1,405.53 / $2,662.00	Facility		$1,003.95	$1,405.53	$2,662.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00