Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,175.93 / $7,920.26	Facility		$2,747.00	$5,175.93	$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 $4,354.08 / $5,137.72 / $6,118.58	Professional		$4,354.08	$5,137.72	$6,118.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,978.81 / $4,278.62 / $5,800.40	Facility		$2,978.81	$4,278.62	$5,800.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,404.10 / $4,596.20 / $4,898.37	Facility		$3,404.10	$4,596.20	$4,898.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,978.81 / $4,295.76 / $6,206.64	Facility		$2,978.81	$4,295.76	$6,206.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,453.69 / $12,453.69 / $12,453.69	Facility		$12,453.69	$12,453.69	$12,453.69
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