Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.46 / $7,920.26 / $20,400.00	Facility		$1,755.46	$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 $1,492.70 / $1,748.44 / $2,097.62	Professional		$1,492.70	$1,748.44	$2,097.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,049.96 / $1,493.28 / $1,928.09	Facility		$1,049.96	$1,493.28	$1,928.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,091.58 / $1,497.45 / $1,613.36	Facility		$1,091.58	$1,497.45	$1,613.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.47 / $1,590.26 / $3,397.00	Facility		$1,056.47	$1,590.26	$3,397.00
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00