Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,105.35 / $12,274.80 / $21,735.00	Facility		$3,105.35	$12,274.80	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.08 / $2,939.14 / $3,265.71	Professional		$1,408.08	$2,939.14	$3,265.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,459.08 / $2,256.67 / $4,282.75	Facility		$1,459.08	$2,256.67	$4,282.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,925.40 / $2,650.52 / $3,029.74	Facility		$1,925.40	$2,650.52	$3,029.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,654.69 / $3,277.04 / $10,160.00	Facility		$1,654.69	$3,277.04	$10,160.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,473.38 / $25,611.83 / $46,580.45	Facility		$17,473.38	$25,611.83	$46,580.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00