Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.84 / $7,920.26 / $13,320.00	Facility		$1,453.84	$7,920.26	$13,320.00
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 $1,352.84 / $1,585.62 / $1,901.09	Professional		$1,352.84	$1,585.62	$1,901.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $936.38 / $1,320.60 / $1,779.05	Facility		$936.38	$1,320.60	$1,779.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,016.48 / $1,401.64 / $1,466.63	Facility		$1,016.48	$1,401.64	$1,466.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.33 / $1,409.49 / $5,217.00	Facility		$960.33	$1,409.49	$5,217.00
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