Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,178.98 / $6,900.50 / $20,400.00	Facility		$2,178.98	$6,900.50	$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 $2,010.46 / $2,361.94 / $2,825.20	Professional		$2,010.46	$2,361.94	$2,825.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,530.85 / $1,967.26 / $2,724.25	Facility		$1,530.85	$1,967.26	$2,724.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,553.31 / $2,115.78 / $2,176.67	Facility		$1,553.31	$2,115.78	$2,176.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,530.85 / $2,019.60 / $2,779.39	Facility		$1,530.85	$2,019.60	$2,779.39
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