Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.57 / $7,920.26 / $20,400.00	Facility		$1,422.57	$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 $1,348.45 / $1,579.47 / $1,894.91	Professional		$1,348.45	$1,579.47	$1,894.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $950.72 / $1,310.68 / $1,717.85	Facility		$950.72	$1,310.68	$1,717.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $989.83 / $1,357.42 / $1,456.58	Facility		$989.83	$1,357.42	$1,456.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $994.40 / $1,426.73 / $5,949.00	Facility		$994.40	$1,426.73	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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