Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.27 / $5,116.62 / $20,400.00	Facility		$1,179.27	$5,116.62	$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 $1,014.04 / $1,188.64 / $1,426.02	Professional		$1,014.04	$1,188.64	$1,426.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $749.13 / $1,011.33 / $1,433.75	Facility		$749.13	$1,011.33	$1,433.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.30 / $1,001.64 / $1,087.41	Facility		$725.30	$1,001.64	$1,087.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.13 / $1,050.25 / $1,433.75	Facility		$749.13	$1,050.25	$1,433.75
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