Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,682.38 / $7,920.26 / $20,400.00	Facility		$1,682.38	$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 $1,437.35 / $1,683.60 / $2,019.84	Professional		$1,437.35	$1,683.60	$2,019.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,472.67 / $1,933.90	Facility		$1,020.00	$1,472.67	$1,933.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,054.76 / $1,425.50 / $1,545.02	Facility		$1,054.76	$1,425.50	$1,545.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,563.47 / $5,949.00	Facility		$1,040.00	$1,563.47	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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