Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,384.69 / $8,878.56 / $20,400.00	Facility		$2,384.69	$8,878.56	$20,400.00
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 $1,087.96 / $2,262.25 / $2,513.61	Professional		$1,087.96	$2,262.25	$2,513.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,087.96 / $1,665.08 / $2,589.60	Facility		$1,087.96	$1,665.08	$2,589.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,432.33 / $2,045.51 / $2,152.71	Facility		$1,432.33	$2,045.51	$2,152.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.51 / $2,073.71 / $2,726.18	Facility		$1,129.51	$2,073.71	$2,726.18
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00