Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.11 / $7,920.26 / $20,400.00	Facility		$1,238.11	$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 $1,058.64 / $1,240.01 / $1,487.66	Professional		$1,058.64	$1,240.01	$1,487.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $746.77 / $1,016.64 / $1,337.05	Facility		$746.77	$1,016.64	$1,337.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $762.60 / $1,046.85 / $1,134.98	Facility		$762.60	$1,046.85	$1,134.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.67 / $1,106.76 / $5,949.00	Facility		$766.67	$1,106.76	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$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