Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,074.00 / $20,400.00	Facility		$2,747.00	$7,074.00	$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 $2,558.44 / $3,018.95 / $3,595.28	Professional		$2,558.44	$3,018.95	$3,595.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,943.27 / $2,662.28 / $3,844.02	Facility		$1,943.27	$2,662.28	$3,844.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,977.24 / $2,697.42 / $2,850.18	Facility		$1,977.24	$2,697.42	$2,850.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,943.27 / $2,865.98 / $3,844.02	Facility		$1,943.27	$2,865.98	$3,844.02
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