Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.03 / $7,920.26 / $20,400.00	Facility		$1,331.03	$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 $1,119.60 / $1,311.42 / $1,573.33	Professional		$1,119.60	$1,311.42	$1,573.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $866.93 / $1,155.75 / $1,581.00	Facility		$866.93	$1,155.75	$1,581.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $899.23 / $1,179.85 / $1,254.91	Facility		$899.23	$1,179.85	$1,254.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.93 / $1,239.71 / $5,217.00	Facility		$866.93	$1,239.71	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00