Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.26 / $7,920.26 / $20,400.00	Facility		$1,496.26	$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 $1,276.58 / $1,495.31 / $1,793.94	Professional		$1,276.58	$1,495.31	$1,793.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $902.23 / $1,239.38 / $1,634.55	Facility		$902.23	$1,239.38	$1,634.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $930.72 / $1,280.36 / $1,374.17	Facility		$930.72	$1,280.36	$1,374.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $931.20 / $1,358.10 / $5,949.00	Facility		$931.20	$1,358.10	$5,949.00
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