Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.70 / $7,920.26 / $20,400.00	Facility		$1,601.70	$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 $1,360.45 / $1,593.53 / $1,911.78	Professional		$1,360.45	$1,593.53	$1,911.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.30 / $1,323.08 / $1,754.40	Facility		$1,016.30	$1,323.08	$1,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,004.37 / $1,370.15 / $1,469.31	Facility		$1,004.37	$1,370.15	$1,469.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.30 / $1,444.21 / $3,865.00	Facility		$1,016.30	$1,444.21	$3,865.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00