Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,641.36 / $7,920.26 / $20,400.00	Facility		$2,641.36	$7,920.26	$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 $2,457.89 / $2,888.44 / $3,453.96	Professional		$2,457.89	$2,888.44	$3,453.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,782.33 / $2,457.09 / $3,299.13	Facility		$1,782.33	$2,457.09	$3,299.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,910.87 / $2,599.41 / $2,749.68	Facility		$1,910.87	$2,599.41	$2,749.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,782.33 / $2,459.85 / $3,504.48	Facility		$1,782.33	$2,459.85	$3,504.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00