Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.04 / $7,920.26 / $20,400.00	Facility		$1,316.04	$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 $1,260.71 / $1,476.69 / $1,771.61	Professional		$1,260.71	$1,476.69	$1,771.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $903.24 / $1,224.50 / $1,598.00	Facility		$903.24	$1,224.50	$1,598.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $911.93 / $1,249.98 / $1,363.45	Facility		$911.93	$1,249.98	$1,363.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $918.94 / $1,316.88 / $5,949.00	Facility		$918.94	$1,316.88	$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