Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.32 / $5,935.95 / $13,746.00	Facility		$1,597.32	$5,935.95	$13,746.00
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 $1,513.21 / $1,776.81 / $2,131.66	Professional		$1,513.21	$1,776.81	$2,131.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,135.31 / $1,682.56 / $2,440.92	Facility		$1,135.31	$1,682.56	$2,440.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.68 / $1,535.64 / $2,023.30	Facility		$1,141.68	$1,535.64	$2,023.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,135.31 / $1,845.99 / $5,949.00	Facility		$1,135.31	$1,845.99	$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