Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.32 / $7,920.26 / $20,400.00	Facility		$1,348.32	$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 $1,156.50 / $1,356.00 / $1,626.82	Professional		$1,156.50	$1,356.00	$1,626.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $856.13 / $1,187.28 / $1,648.49	Facility		$856.13	$1,187.28	$1,648.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $840.35 / $1,142.60 / $1,240.17	Facility		$840.35	$1,142.60	$1,240.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.13 / $1,285.92 / $5,949.00	Facility		$856.13	$1,285.92	$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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00