Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,943.28 / $31,622.78	Facility		$1,288.25	$7,943.28	$31,622.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,584.89	Professional		$1,023.29	$1,348.96	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,584.89	Facility		$645.65	$1,000.00	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,318.26	Facility		$1,000.00	$1,202.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,412.54	Facility		$660.69	$1,000.00	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78