Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,457.89 / $9,972.00 / $20,400.00	Facility		$3,457.89	$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 $1,735.85 / $3,606.73 / $4,007.48	Professional		$1,735.85	$3,606.73	$4,007.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,735.85 / $2,690.57 / $4,553.03	Facility		$1,735.85	$2,690.57	$4,553.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,222.89 / $3,073.96 / $3,464.57	Facility		$2,222.89	$3,073.96	$3,464.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,036.55 / $3,822.90 / $8,747.00	Facility		$2,036.55	$3,822.90	$8,747.00
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