Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,558.55 / $7,920.26	Facility		$2,747.00	$3,558.55	$7,920.26
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 $2,703.23 / $3,178.84 / $3,798.72	Professional		$2,703.23	$3,178.84	$3,798.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,966.84 / $2,694.57 / $4,228.71	Facility		$1,966.84	$2,694.57	$4,228.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,121.63 / $2,860.75 / $2,990.88	Facility		$2,121.63	$2,860.75	$2,990.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,966.84 / $2,795.04 / $3,800.52	Facility		$1,966.84	$2,795.04	$3,800.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,924.49 / $7,963.77 / $18,894.75	Facility		$3,924.49	$7,963.77	$18,894.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00