Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,650.88 / $7,920.26 / $20,400.00	Facility		$1,650.88	$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 $1,406.53 / $1,647.50 / $1,976.53	Professional		$1,406.53	$1,647.50	$1,976.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $743.36 / $1,261.50 / $1,804.55	Facility		$743.36	$1,261.50	$1,804.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $991.23 / $1,409.01 / $1,513.53	Facility		$991.23	$1,409.01	$1,513.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.78 / $1,477.42 / $7,090.00	Facility		$746.78	$1,477.42	$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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00