Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.29 / $11,377.08 / $42,921.00	Facility		$1,291.29	$11,377.08	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,367.25	Professional		$1,085.10	$1,085.11	$1,367.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,142.79 / $2,142.79 / $2,142.79	Professional		$2,142.79	$2,142.79	$2,142.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,085.11 / $2,333.01	Facility		$1,085.11	$1,085.11	$2,333.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,315.62 / $8,714.00 / $13,964.00	Facility		$5,315.62	$8,714.00	$13,964.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,085.11 / $2,333.01	Facility		$1,085.11	$1,085.11	$2,333.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,851.10 / $6,572.57 / $7,106.61	Professional		$3,851.10	$6,572.57	$7,106.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $16,268.00 / $24,231.00	Facility		$2,151.00	$16,268.00	$24,231.00