Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.56 / $7,920.26 / $20,400.00	Facility		$1,674.56	$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 $1,390.58 / $1,647.24 / $1,976.22	Professional		$1,390.58	$1,647.24	$1,976.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $955.03 / $1,347.26 / $1,712.75	Facility		$955.03	$1,347.26	$1,712.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $964.64 / $1,333.97 / $1,512.86	Facility		$964.64	$1,333.97	$1,512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,029.28 / $1,456.10 / $5,949.00	Facility		$1,029.28	$1,456.10	$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