Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.73 / $7,920.26 / $20,400.00	Facility		$1,306.73	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,109.60 / $1,303.29 / $1,563.57	Professional		$1,109.60	$1,303.29	$1,563.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.02 / $1,039.68 / $1,398.25	Facility		$686.02	$1,039.68	$1,398.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.44 / $1,096.55 / $1,185.90	Facility		$781.44	$1,096.55	$1,185.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.46 / $1,164.23 / $7,090.00	Facility		$749.46	$1,164.23	$7,090.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
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