Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.33 / $5,116.62 / $13,746.00	Facility		$1,007.33	$5,116.62	$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 $1,101.84 / $1,292.90 / $1,551.11	Professional		$1,101.84	$1,292.90	$1,551.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.15 / $986.40 / $1,405.05	Facility		$629.15	$986.40	$1,405.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.56 / $1,092.09 / $1,181.21	Facility		$752.56	$1,092.09	$1,181.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.49 / $1,148.83 / $5,949.00	Facility		$695.49	$1,148.83	$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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00