Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.94 / $7,920.26 / $20,400.00	Facility		$2,369.94	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,154.80 / $2,529.34 / $3,028.05	Professional		$2,154.80	$2,529.34	$3,028.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.39 / $2,247.69 / $3,105.39	Facility		$1,666.39	$2,247.69	$3,105.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,563.97 / $2,225.28 / $2,351.03	Facility		$1,563.97	$2,225.28	$2,351.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,666.39 / $2,282.94 / $3,006.78	Facility		$1,666.39	$2,282.94	$3,006.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
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