Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.24 / $7,920.26 / $20,400.00	Facility		$1,472.24	$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 $1,311.07 / $1,535.69 / $1,842.39	Professional		$1,311.07	$1,535.69	$1,842.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.18 / $1,218.84 / $1,624.35	Facility		$801.18	$1,218.84	$1,624.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.63 / $1,291.08 / $1,404.99	Facility		$933.63	$1,291.08	$1,404.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $1,291.08 / $2,748.00	Facility		$857.71	$1,291.08	$2,748.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00