Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,849.28 / $8,878.56 / $20,400.00	Facility		$1,849.28	$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 $841.22 / $1,753.21 / $1,948.01	Professional		$841.22	$1,753.21	$1,948.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.34 / $1,339.29 / $2,365.83	Facility		$870.34	$1,339.29	$2,365.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,159.41 / $1,597.28 / $1,677.01	Facility		$1,159.41	$1,597.28	$1,677.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $987.64 / $1,949.68 / $7,339.00	Facility		$987.64	$1,949.68	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
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