Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,136.82 / $3,057.78 / $16,444.08	Facility		$2,136.82	$3,057.78	$16,444.08
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 $1,923.82 / $2,253.42 / $2,703.46	Professional		$1,923.82	$2,253.42	$2,703.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,447.83 / $1,874.88 / $2,519.40	Facility		$1,447.83	$1,874.88	$2,519.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,444.78 / $1,979.85 / $2,095.09	Facility		$1,444.78	$1,979.85	$2,095.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,449.42 / $2,070.32 / $5,217.00	Facility		$1,449.42	$2,070.32	$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