Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.67 / $7,920.26 / $21,698.45	Facility		$1,366.67	$7,920.26	$21,698.45
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 $1,291.52 / $1,512.79 / $1,814.92	Professional		$1,291.52	$1,512.79	$1,814.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.88 / $1,257.35 / $1,705.95	Facility		$932.88	$1,257.35	$1,705.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $978.21 / $1,338.66 / $1,400.30	Facility		$978.21	$1,338.66	$1,400.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.88 / $1,389.79 / $5,217.00	Facility		$932.88	$1,389.79	$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 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00