Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.34 / $7,920.26 / $20,400.00	Facility		$1,370.34	$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 $1,168.57 / $1,368.77 / $1,642.14	Professional		$1,168.57	$1,368.77	$1,642.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.04 / $1,134.59 / $1,499.40	Facility		$868.04	$1,134.59	$1,499.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $856.60 / $1,173.83 / $1,262.28	Facility		$856.60	$1,173.83	$1,262.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $874.61 / $1,231.77 / $5,949.00	Facility		$874.61	$1,231.77	$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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00