Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.13 / $3,107.00 / $20,400.00	Facility		$1,413.13	$3,107.00	$20,400.00
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 $1,341.91 / $1,572.17 / $1,886.16	Professional		$1,341.91	$1,572.17	$1,886.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.42 / $1,300.14 / $1,796.90	Facility		$890.42	$1,300.14	$1,796.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,004.85 / $1,363.45 / $1,449.88	Facility		$1,004.85	$1,363.45	$1,449.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.86 / $1,488.19 / $8,647.00	Facility		$964.86	$1,488.19	$8,647.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00