Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.54 / $7,920.26 / $20,400.00	Facility		$1,468.54	$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 $1,254.57 / $1,469.51 / $1,762.99	Professional		$1,254.57	$1,469.51	$1,762.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.21 / $1,218.30 / $1,603.95	Facility		$887.21	$1,218.30	$1,603.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $920.07 / $1,262.28 / $1,358.09	Facility		$920.07	$1,262.28	$1,358.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.91 / $1,320.59 / $5,949.00	Facility		$933.91	$1,320.59	$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 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00