Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.75 / $7,920.26 / $20,400.00	Facility		$1,091.75	$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 $934.28 / $1,096.08 / $1,314.98	Professional		$934.28	$1,096.08	$1,314.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.68 / $905.20 / $1,175.55	Facility		$692.68	$905.20	$1,175.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.61 / $922.51 / $1,001.65	Facility		$668.61	$922.51	$1,001.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.68 / $987.69 / $5,949.00	Facility		$692.68	$987.69	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$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