Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.38 / $7,920.26 / $20,400.00	Facility		$1,419.38	$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 $1,212.26 / $1,419.95 / $1,703.54	Professional		$1,212.26	$1,419.95	$1,703.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.31 / $1,176.76 / $1,552.10	Facility		$899.31	$1,176.76	$1,552.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $885.18 / $1,217.39 / $1,311.19	Facility		$885.18	$1,217.39	$1,311.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.70 / $1,275.54 / $5,949.00	Facility		$905.70	$1,275.54	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,830.35	Facility		$2,155.00	$13,246.00	$26,830.35