Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,157.23 / $9,972.00 / $20,400.00	Facility		$2,157.23	$9,972.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.28 / $2,003.91 / $2,239.71	Professional		$971.28	$2,003.91	$2,239.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $971.28 / $1,505.48 / $2,400.08	Facility		$971.28	$1,505.48	$2,400.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,172.01 / $1,640.60 / $1,926.92	Facility		$1,172.01	$1,640.60	$1,926.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,134.26 / $2,092.33 / $8,747.00	Facility		$1,134.26	$2,092.33	$8,747.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
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