Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,244.78 / $7,920.26 / $21,735.00	Facility		$2,244.78	$7,920.26	$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 $1,876.08 / $2,197.50 / $2,636.37	Professional		$1,876.08	$2,197.50	$2,636.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.33 / $1,822.98 / $2,641.80	Facility		$1,267.33	$1,822.98	$2,641.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,453.83 / $1,964.44 / $2,058.91	Facility		$1,453.83	$1,964.44	$2,058.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,376.54 / $2,072.06 / $5,359.00	Facility		$1,376.54	$2,072.06	$5,359.00
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