Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.68 / $7,920.26 / $20,400.00	Facility		$1,301.68	$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 $1,106.42 / $1,295.97 / $1,554.80	Professional		$1,106.42	$1,295.97	$1,554.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.80 / $1,074.46 / $1,428.00	Facility		$830.80	$1,074.46	$1,428.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $815.90 / $1,119.57 / $1,197.29	Facility		$815.90	$1,119.57	$1,197.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.80 / $1,176.27 / $5,217.00	Facility		$830.80	$1,176.27	$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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00