Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.39 / $7,920.26 / $20,400.00	Facility		$1,424.39	$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 $1,197.41 / $1,412.85 / $1,695.02	Professional		$1,197.41	$1,412.85	$1,695.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $673.37 / $1,160.02 / $1,599.70	Facility		$673.37	$1,160.02	$1,599.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $858.15 / $1,219.40 / $1,299.48	Facility		$858.15	$1,219.40	$1,299.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.18 / $1,331.42 / $5,949.00	Facility		$848.18	$1,331.42	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00