Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.19 / $7,920.26 / $20,400.00	Facility		$1,646.19	$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 $1,406.88 / $1,647.92 / $1,977.03	Professional		$1,406.88	$1,647.92	$1,977.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,030.50 / $1,368.96 / $1,828.35	Facility		$1,030.50	$1,368.96	$1,828.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,051.36 / $1,439.83 / $1,522.91	Facility		$1,051.36	$1,439.83	$1,522.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,049.97 / $1,503.23 / $3,865.00	Facility		$1,049.97	$1,503.23	$3,865.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$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