Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.89 / $4,962.67 / $15,341.00	Facility		$1,259.89	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.83 / $1,322.35 / $1,586.45	Professional		$1,122.83	$1,322.35	$1,586.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $710.53 / $976.49 / $1,280.95	Facility		$710.53	$976.49	$1,280.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $723.36 / $1,000.31 / $1,210.69	Facility		$723.36	$1,000.31	$1,210.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,086.97 / $2,919.00	Facility		$736.00	$1,086.97	$2,919.00
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 $1,981.00 / $9,529.00 / $26,830.35	Facility		$1,981.00	$9,529.00	$26,830.35