Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.96 / $7,920.26 / $20,400.00	Facility		$1,248.96	$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 $1,066.07 / $1,248.71 / $1,498.10	Professional		$1,066.07	$1,248.71	$1,498.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $755.87 / $1,035.40 / $1,378.70	Facility		$755.87	$1,035.40	$1,378.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $785.37 / $1,080.04 / $1,147.71	Facility		$785.37	$1,080.04	$1,147.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.87 / $1,040.00 / $1,457.05	Facility		$755.87	$1,040.00	$1,457.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00