Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,549.92 / $4,962.67 / $15,341.00	Facility		$2,549.92	$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 $2,364.42 / $2,786.07 / $3,322.62	Professional		$2,364.42	$2,786.07	$3,322.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,634.06 / $2,386.02 / $3,190.05	Facility		$1,634.06	$2,386.02	$3,190.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,815.91 / $2,462.25 / $2,586.19	Facility		$1,815.91	$2,462.25	$2,586.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,720.06 / $2,469.71 / $3,698.13	Facility		$1,720.06	$2,469.71	$3,698.13
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