Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,889.72 / $9,972.00 / $20,400.00	Facility		$2,889.72	$9,972.00	$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 $1,451.22 / $3,012.95 / $3,347.73	Professional		$1,451.22	$3,012.95	$3,347.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.25 / $2,249.39 / $3,627.43	Facility		$1,417.25	$2,249.39	$3,627.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.20 / $2,519.19 / $2,900.43	Facility		$1,751.20	$2,519.19	$2,900.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,466.12 / $2,681.50 / $3,710.42	Facility		$1,466.12	$2,681.50	$3,710.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00