Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.09 / $7,920.26 / $20,400.00	Facility		$1,455.09	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.07 / $1,603.40 / $1,923.62	Professional		$1,355.07	$1,603.40	$1,923.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $906.93 / $1,298.86 / $1,646.45	Facility		$906.93	$1,298.86	$1,646.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.33 / $1,282.38 / $1,465.96	Facility		$927.33	$1,282.38	$1,465.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.30 / $1,397.22 / $7,090.00	Facility		$991.30	$1,397.22	$7,090.00
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 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00