Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,650.90 / $7,920.26 / $20,400.00	Facility		$2,650.90	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,437.17 / $2,875.39 / $3,424.86	Professional		$2,437.17	$2,875.39	$3,424.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,851.58 / $2,548.92 / $3,695.00	Facility		$1,851.58	$2,548.92	$3,695.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,879.86 / $2,587.66 / $2,696.75	Facility		$1,879.86	$2,587.66	$2,696.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,851.58 / $2,748.42 / $3,695.00	Facility		$1,851.58	$2,748.42	$3,695.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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