Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.49 / $7,920.26 / $20,400.00	Facility		$1,260.49	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.67 / $1,234.19 / $1,480.67	Professional		$1,053.67	$1,234.19	$1,480.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $754.40 / $1,024.24 / $1,382.95	Facility		$754.40	$1,024.24	$1,382.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $789.74 / $1,078.13 / $1,154.41	Facility		$789.74	$1,078.13	$1,154.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.84 / $1,135.56 / $5,949.00	Facility		$793.84	$1,135.56	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00