Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $13,746.00	Facility		$1,924.00	$7,920.26	$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 $1,967.22 / $2,322.39 / $2,786.20	Professional		$1,967.22	$2,322.39	$2,786.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,321.62 / $1,795.68 / $2,400.40	Facility		$1,321.62	$1,795.68	$2,400.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,362.90 / $1,884.71 / $2,111.84	Facility		$1,362.90	$1,884.71	$2,111.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.89 / $2,024.37 / $5,949.00	Facility		$1,355.89	$2,024.37	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
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