Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.45 / $2,658.68 / $13,320.00	Facility		$1,553.45	$2,658.68	$13,320.00
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 $1,734.62 / $2,149.05 / $2,623.56	Professional		$1,734.62	$2,149.05	$2,623.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.83 / $1,729.14 / $2,438.54	Facility		$1,099.83	$1,729.14	$2,438.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,250.05 / $1,888.36 / $2,320.88	Facility		$1,250.05	$1,888.36	$2,320.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,139.65 / $1,729.14 / $3,092.59	Facility		$1,139.65	$1,729.14	$3,092.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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