Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,285.44 / $4,458.72 / $20,400.00	Facility		$2,285.44	$4,458.72	$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 $2,407.63 / $3,118.36 / $4,804.83	Professional		$2,407.63	$3,118.36	$4,804.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.53 / $2,643.23 / $5,175.97	Facility		$1,361.53	$2,643.23	$5,175.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,934.72 / $3,801.99 / $4,369.07	Facility		$1,934.72	$3,801.99	$4,369.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,400.29 / $3,122.09 / $6,240.40	Facility		$1,400.29	$3,122.09	$6,240.40
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