Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.50 / $7,920.26 / $20,400.00	Facility		$1,459.50	$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 $1,305.43 / $1,529.09 / $1,834.47	Professional		$1,305.43	$1,529.09	$1,834.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $885.32 / $1,258.08 / $1,619.25	Facility		$885.32	$1,258.08	$1,619.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $920.55 / $1,270.32 / $1,348.04	Facility		$920.55	$1,270.32	$1,348.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $931.92 / $1,349.07 / $5,949.00	Facility		$931.92	$1,349.07	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$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