Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.12 / $7,920.26 / $20,400.00	Facility		$1,799.12	$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 $1,506.13 / $1,778.63 / $2,133.84	Professional		$1,506.13	$1,778.63	$2,133.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,017.96 / $1,448.21 / $1,835.15	Facility		$1,017.96	$1,448.21	$1,835.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,036.34 / $1,433.13 / $1,628.77	Facility		$1,036.34	$1,433.13	$1,628.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.00 / $1,568.28 / $5,949.00	Facility		$1,052.00	$1,568.28	$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