Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.08 / $11,652.00 / $23,856.49	Facility		$1,221.08	$11,652.00	$23,856.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,522.26 / $2,965.36 / $3,544.42	Professional		$2,522.26	$2,965.36	$3,544.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,712.73 / $2,526.17 / $3,324.35	Facility		$1,712.73	$2,526.17	$3,324.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,911.35 / $2,631.09 / $2,759.06	Facility		$1,911.35	$2,631.09	$2,759.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,766.56 / $2,599.19 / $3,519.07	Facility		$1,766.56	$2,599.19	$3,519.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00