Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.62 / $7,920.26 / $20,400.00	Facility		$1,548.62	$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 $1,322.67 / $1,549.28 / $1,858.69	Professional		$1,322.67	$1,549.28	$1,858.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $927.33 / $1,293.83 / $1,694.90	Facility		$927.33	$1,293.83	$1,694.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $970.45 / $1,327.94 / $1,424.42	Facility		$970.45	$1,327.94	$1,424.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $972.93 / $1,391.65 / $7,090.00	Facility		$972.93	$1,391.65	$7,090.00
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00