Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,424.13 / $8,878.56 / $20,400.00	Facility		$2,424.13	$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 $1,094.36 / $2,259.62 / $2,523.56	Professional		$1,094.36	$2,259.62	$2,523.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.36 / $1,696.27 / $2,714.78	Facility		$1,094.36	$1,696.27	$2,714.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,298.43 / $1,863.94 / $2,168.12	Facility		$1,298.43	$1,863.94	$2,168.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,269.61 / $2,349.50 / $7,339.00	Facility		$1,269.61	$2,349.50	$7,339.00
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