Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.57 / $7,920.26 / $20,400.00	Facility		$1,281.57	$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 $1,097.18 / $1,287.45 / $1,544.57	Professional		$1,097.18	$1,287.45	$1,544.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.19 / $989.28 / $1,395.70	Facility		$664.19	$989.28	$1,395.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $733.05 / $1,083.05 / $1,177.19	Facility		$733.05	$1,083.05	$1,177.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.73 / $1,148.36 / $5,949.00	Facility		$736.73	$1,148.36	$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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00