Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.19 / $4,962.67 / $15,341.00	Facility		$1,282.19	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.39 / $1,335.77 / $1,602.54	Professional		$1,140.39	$1,335.77	$1,602.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $789.38 / $1,085.04 / $1,462.00	Facility		$789.38	$1,085.04	$1,462.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $809.48 / $1,119.57 / $1,193.94	Facility		$809.48	$1,119.57	$1,193.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.38 / $1,179.42 / $2,919.00	Facility		$789.38	$1,179.42	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00