Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.74 / $7,920.26 / $20,400.00	Facility		$1,971.74	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,684.35 / $1,972.91 / $2,366.92	Professional		$1,684.35	$1,972.91	$2,366.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,227.83 / $1,634.32 / $2,164.94	Facility		$1,227.83	$1,634.32	$2,164.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,238.86 / $1,684.38 / $1,810.34	Facility		$1,238.86	$1,684.38	$1,810.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.88 / $1,792.26 / $7,090.00	Facility		$1,227.88	$1,792.26	$7,090.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00