Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,101.00 / $7,920.26 / $21,735.00	Facility		$2,101.00	$7,920.26	$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 $1,771.13 / $2,076.01 / $2,488.88	Professional		$1,771.13	$2,076.01	$2,488.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.77 / $1,737.42 / $2,317.10	Facility		$1,261.77	$1,737.42	$2,317.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,327.53 / $1,827.09 / $1,932.95	Facility		$1,327.53	$1,827.09	$1,932.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,328.18 / $1,899.30 / $5,359.00	Facility		$1,328.18	$1,899.30	$5,359.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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