Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.25 / $7,920.26 / $20,400.00	Facility		$1,488.25	$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 $1,255.58 / $1,477.08 / $1,764.42	Professional		$1,255.58	$1,477.08	$1,764.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,257.86 / $1,632.85	Facility		$900.00	$1,257.86	$1,632.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $929.27 / $1,268.28 / $1,366.80	Facility		$929.27	$1,268.28	$1,366.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.42 / $1,331.36 / $2,748.00	Facility		$903.42	$1,331.36	$2,748.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00