Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.24 / $5,932.79 / $20,400.00	Facility		$1,415.24	$5,932.79	$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 $1,217.68 / $1,426.29 / $1,711.14	Professional		$1,217.68	$1,426.29	$1,711.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $777.38 / $1,144.41 / $1,527.45	Facility		$777.38	$1,144.41	$1,527.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $873.18 / $1,210.02 / $1,305.16	Facility		$873.18	$1,210.02	$1,305.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.39 / $1,251.70 / $2,748.00	Facility		$830.39	$1,251.70	$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 / $20,708.00 / $26,830.35	Facility		$3,028.00	$20,708.00	$26,830.35