Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.66 / $7,920.26 / $20,400.00	Facility		$1,651.66	$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 $1,380.41 / $1,633.52 / $1,959.76	Professional		$1,380.41	$1,633.52	$1,959.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $927.04 / $1,318.52 / $1,675.77	Facility		$927.04	$1,318.52	$1,675.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $951.09 / $1,333.30 / $1,498.12	Facility		$951.09	$1,333.30	$1,498.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,007.73 / $1,429.22 / $5,949.00	Facility		$1,007.73	$1,429.22	$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