Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.78 / $5,116.62 / $13,746.00	Facility		$1,765.78	$5,116.62	$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 $1,473.27 / $1,745.75 / $2,094.40	Professional		$1,473.27	$1,745.75	$2,094.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.98 / $1,427.24 / $1,834.30	Facility		$1,050.98	$1,427.24	$1,834.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,035.85 / $1,432.46 / $1,593.93	Facility		$1,035.85	$1,432.46	$1,593.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.66 / $1,566.25 / $5,949.00	Facility		$1,091.66	$1,566.25	$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