Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$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 $1,577.47 / $1,848.38 / $2,216.73	Professional		$1,577.47	$1,848.38	$2,216.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.83 / $1,526.40 / $2,027.25	Facility		$1,060.83	$1,526.40	$2,027.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,183.63 / $1,579.86 / $1,725.92	Facility		$1,183.63	$1,579.86	$1,725.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.47 / $1,638.78 / $5,217.00	Facility		$1,095.47	$1,638.78	$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