Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,438.40 / $8,878.56 / $20,400.00	Facility		$2,438.40	$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 $1,105.00 / $2,305.63 / $2,561.81	Professional		$1,105.00	$2,305.63	$2,561.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,712.75 / $3,113.72	Facility		$1,105.00	$1,712.75	$3,113.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,471.96 / $2,105.14 / $2,205.64	Facility		$1,471.96	$2,105.14	$2,205.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,298.29 / $2,572.01 / $7,339.00	Facility		$1,298.29	$2,572.01	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $19,565.63	Facility		$10,762.34	$13,653.30	$19,565.63
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