Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.81 / $7,920.26 / $20,400.00	Facility		$1,303.81	$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 $1,111.31 / $1,301.71 / $1,561.68	Professional		$1,111.31	$1,301.71	$1,561.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $806.49 / $1,064.16 / $1,406.75	Facility		$806.49	$1,064.16	$1,406.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $800.88 / $1,103.49 / $1,197.96	Facility		$800.88	$1,103.49	$1,197.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $816.47 / $1,160.53 / $5,217.00	Facility		$816.47	$1,160.53	$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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00