Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,129.78 / $7,920.26 / $20,400.00	Facility		$2,129.78	$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 $1,961.55 / $2,300.90 / $2,756.48	Professional		$1,961.55	$2,300.90	$2,756.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.32 / $1,985.13 / $2,763.35	Facility		$1,500.32	$1,985.13	$2,763.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,571.23 / $2,066.94 / $2,172.81	Facility		$1,571.23	$2,066.94	$2,172.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.32 / $2,145.46 / $5,949.00	Facility		$1,500.32	$2,145.46	$5,949.00
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