Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,463.99 / $6,437.43 / $7,678.29	Professional		$5,463.99	$6,437.43	$7,678.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,811.12 / $5,078.88 / $6,548.85	Facility		$3,811.12	$5,078.88	$6,548.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,562.93 / $5,232.71 / $6,014.59	Facility		$3,562.93	$5,232.71	$6,014.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,811.12 / $5,361.14 / $7,661.12	Facility		$3,811.12	$5,361.14	$7,661.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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