Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.68 / $5,116.62 / $21,735.00	Facility		$1,491.68	$5,116.62	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.68 / $1,623.23 / $1,944.42	Professional		$1,383.68	$1,623.23	$1,944.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,049.07 / $1,371.72 / $1,864.62	Facility		$1,049.07	$1,371.72	$1,864.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.74 / $1,432.46 / $1,510.96	Facility		$1,039.74	$1,432.46	$1,510.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,049.07 / $1,530.05 / $8,647.00	Facility		$1,049.07	$1,530.05	$8,647.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00