Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.50 / $7,920.26 / $20,400.00	Facility		$1,626.50	$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 $1,360.92 / $1,610.89 / $1,932.61	Professional		$1,360.92	$1,610.89	$1,932.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.08 / $1,300.18 / $1,637.95	Facility		$1,046.08	$1,300.18	$1,637.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $926.85 / $1,281.71 / $1,471.99	Facility		$926.85	$1,281.71	$1,471.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,046.08 / $1,398.98 / $3,397.00	Facility		$1,046.08	$1,398.98	$3,397.00
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00