Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,472.82 / $5,649.00 / $15,341.00	Facility		$2,472.82	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.81 / $2,307.10 / $2,575.30	Professional		$1,116.81	$2,307.10	$2,575.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.81 / $1,731.06 / $2,699.05	Facility		$1,116.81	$1,731.06	$2,699.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,315.06 / $1,874.66 / $2,217.03	Facility		$1,315.06	$1,874.66	$2,217.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,295.34 / $2,374.63 / $4,681.00	Facility		$1,295.34	$2,374.63	$4,681.00
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