Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.08 / $5,985.90 / $13,746.00	Facility		$1,260.08	$5,985.90	$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 $1,177.60 / $1,405.93 / $1,686.71	Professional		$1,177.60	$1,405.93	$1,686.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.52 / $1,131.19 / $1,410.25	Facility		$774.52	$1,131.19	$1,410.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $778.53 / $1,089.42 / $1,275.68	Facility		$778.53	$1,089.42	$1,275.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.53 / $1,189.67 / $5,949.00	Facility		$866.53	$1,189.67	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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