Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $2,629.42 / $3,097.32 / $3,695.00	Professional		$2,629.42	$3,097.32	$3,695.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,980.84 / $2,728.00 / $3,884.74	Facility		$1,980.84	$2,728.00	$3,884.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,998.03 / $2,761.07 / $2,891.72	Facility		$1,998.03	$2,761.07	$2,891.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,980.84 / $2,883.11 / $3,884.74	Facility		$1,980.84	$2,883.11	$3,884.74
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