Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.27 / $7,920.26 / $20,400.00	Facility		$1,245.27	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.52 / $1,242.22 / $1,490.31	Professional		$1,060.52	$1,242.22	$1,490.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.47 / $1,029.82 / $1,368.50	Facility		$792.47	$1,029.82	$1,368.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.01 / $1,068.65 / $1,143.02	Facility		$781.01	$1,068.65	$1,143.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.47 / $1,135.57 / $7,090.00	Facility		$792.47	$1,135.57	$7,090.00
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