Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.51 / $7,920.26 / $13,746.00	Facility		$1,554.51	$7,920.26	$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 $1,454.35 / $1,721.95 / $2,065.85	Professional		$1,454.35	$1,721.95	$2,065.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.56 / $1,408.64 / $1,755.25	Facility		$969.56	$1,408.64	$1,755.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $991.29 / $1,370.82 / $1,580.53	Facility		$991.29	$1,370.82	$1,580.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,499.49 / $5,949.00	Facility		$1,040.00	$1,499.49	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
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