Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,606.28 / $12,274.80 / $20,400.00	Facility		$1,606.28	$12,274.80	$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 $1,494.22 / $1,750.21 / $2,099.75	Professional		$1,494.22	$1,750.21	$2,099.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.04 / $1,453.90 / $1,951.60	Facility		$1,044.04	$1,453.90	$1,951.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,107.08 / $1,530.95 / $1,617.38	Facility		$1,107.08	$1,530.95	$1,617.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.04 / $1,483.92 / $2,062.01	Facility		$1,044.04	$1,483.92	$2,062.01
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