Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.15 / $7,920.26 / $20,400.00	Facility		$1,300.15	$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 $1,109.50 / $1,299.58 / $1,559.13	Professional		$1,109.50	$1,299.58	$1,559.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.58 / $1,072.22 / $1,391.45	Facility		$824.58	$1,072.22	$1,391.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.55 / $1,099.24 / $1,192.59	Facility		$795.55	$1,099.24	$1,192.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.58 / $1,169.98 / $5,217.00	Facility		$824.58	$1,169.98	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$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