Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.63 / $5,116.62 / $20,400.00	Facility		$1,429.63	$5,116.62	$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 $1,204.00 / $1,415.62 / $1,691.93	Professional		$1,204.00	$1,415.62	$1,691.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.25 / $1,245.67 / $1,558.74	Facility		$909.25	$1,245.67	$1,558.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $902.14 / $1,216.73 / $1,300.47	Facility		$902.14	$1,216.73	$1,300.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $909.25 / $1,279.95 / $5,217.00	Facility		$909.25	$1,279.95	$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 $2,912.00 / $17,192.00 / $26,830.35	Facility		$2,912.00	$17,192.00	$26,830.35