Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$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 $2,168.07 / $2,542.69 / $3,046.69	Professional		$2,168.07	$2,542.69	$3,046.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,604.23 / $2,117.30 / $2,963.95	Facility		$1,604.23	$2,117.30	$2,963.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,688.00 / $2,267.94 / $2,346.34	Facility		$1,688.00	$2,267.94	$2,346.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,592.58 / $2,176.56 / $2,970.74	Facility		$1,592.58	$2,176.56	$2,970.74
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