Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.40 / $7,920.26 / $20,400.00	Facility		$1,542.40	$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 $1,290.10 / $1,527.87 / $1,833.01	Professional		$1,290.10	$1,527.87	$1,833.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $864.23 / $1,240.57 / $1,560.60	Facility		$864.23	$1,240.57	$1,560.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $880.34 / $1,217.39 / $1,393.60	Facility		$880.34	$1,217.39	$1,393.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.40 / $1,329.47 / $5,949.00	Facility		$938.40	$1,329.47	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00