Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.83 / $6,780.20 / $21,735.00	Facility		$1,117.83	$6,780.20	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $955.09 / $1,118.71 / $1,342.14	Professional		$955.09	$1,118.71	$1,342.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.37 / $922.32 / $1,213.80	Facility		$666.37	$922.32	$1,213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $692.84 / $947.38 / $1,025.77	Facility		$692.84	$947.38	$1,025.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.12 / $990.76 / $1,643.00	Facility		$674.12	$990.76	$1,643.00
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00