Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.24 / $10,730.00 / $24,279.95	Facility		$1,823.24	$10,730.00	$24,279.95
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 $1,968.26 / $2,305.46 / $2,765.90	Professional		$1,968.26	$2,305.46	$2,765.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.31 / $1,919.52 / $2,581.44	Facility		$1,482.31	$1,919.52	$2,581.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,481.60 / $2,032.11 / $2,145.34	Facility		$1,481.60	$2,032.11	$2,145.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,482.31 / $2,119.69 / $5,217.00	Facility		$1,482.31	$2,119.69	$5,217.00
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