Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,177.92 / $5,116.62 / $21,735.00	Facility		$2,177.92	$5,116.62	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,802.72 / $2,116.46 / $2,533.28	Professional		$1,802.72	$2,116.46	$2,533.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,390.48 / $1,831.95 / $2,426.75	Facility		$1,390.48	$1,831.95	$2,426.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,387.12 / $1,904.68 / $1,996.60	Facility		$1,387.12	$1,904.68	$1,996.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.48 / $1,988.39 / $5,359.00	Facility		$1,390.48	$1,988.39	$5,359.00
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00