Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,295.40 / $7,920.26 / $20,400.00	Facility		$2,295.40	$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 $2,143.98 / $2,520.16 / $3,012.83	Professional		$2,143.98	$2,520.16	$3,012.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,608.31 / $2,224.29 / $3,211.83	Facility		$1,608.31	$2,224.29	$3,211.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,627.44 / $2,235.79 / $2,355.71	Facility		$1,627.44	$2,235.79	$2,355.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,608.31 / $2,329.63 / $3,211.83	Facility		$1,608.31	$2,329.63	$3,211.83
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