Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.12 / $7,920.26 / $20,400.00	Facility		$2,608.12	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,422.85 / $2,852.93 / $3,404.71	Professional		$2,422.85	$2,852.93	$3,404.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,824.51 / $2,513.61 / $3,638.53	Facility		$1,824.51	$2,513.61	$3,638.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,857.09 / $2,537.29 / $2,672.63	Facility		$1,857.09	$2,537.29	$2,672.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,824.51 / $2,661.36 / $3,638.53	Facility		$1,824.51	$2,661.36	$3,638.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00