Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.60 / $8,878.56 / $20,400.00	Facility		$2,137.60	$8,878.56	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.40 / $1,996.03 / $2,233.08	Professional		$968.40	$1,996.03	$2,233.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.40 / $1,501.02 / $2,376.94	Facility		$968.40	$1,501.02	$2,376.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,158.00 / $1,656.44 / $1,913.52	Facility		$1,158.00	$1,656.44	$1,913.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,125.65 / $2,071.09 / $7,339.00	Facility		$1,125.65	$2,071.09	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00