Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.81 / $7,920.26 / $20,400.00	Facility		$1,375.81	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.25 / $1,377.06 / $1,652.08	Professional		$1,175.25	$1,377.06	$1,652.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $810.61 / $1,123.92 / $1,485.80	Facility		$810.61	$1,123.92	$1,485.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $847.39 / $1,160.41 / $1,265.63	Facility		$847.39	$1,160.41	$1,265.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $846.38 / $1,223.66 / $7,090.00	Facility		$846.38	$1,223.66	$7,090.00
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00