Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,670.28 / $9,149.54 / $15,785.85	Facility		$1,670.28	$9,149.54	$15,785.85
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 $1,592.69 / $1,865.56 / $2,238.13	Professional		$1,592.69	$1,865.56	$2,238.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,063.01 / $1,530.72 / $2,029.80	Facility		$1,063.01	$1,530.72	$2,029.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,159.41 / $1,582.54 / $1,711.18	Facility		$1,159.41	$1,582.54	$1,711.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,110.89 / $1,671.45 / $5,949.00	Facility		$1,110.89	$1,671.45	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00