Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,447.47 / $2,747.00 / $13,320.00	Facility		$1,447.47	$2,747.00	$13,320.00
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 $1,568.36 / $1,837.05 / $2,203.94	Professional		$1,568.36	$1,837.05	$2,203.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $1,527.68 / $2,049.35	Facility		$1,162.00	$1,527.68	$2,049.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,178.30 / $1,614.03 / $1,712.52	Facility		$1,178.30	$1,614.03	$1,712.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,176.81 / $1,682.84 / $5,217.00	Facility		$1,176.81	$1,682.84	$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