Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,302.16 / $3,897.04 / $4,640.38	Professional		$3,302.16	$3,897.04	$4,640.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,498.19 / $3,454.44 / $4,916.79	Facility		$2,498.19	$3,454.44	$4,916.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,534.90 / $3,458.54 / $3,642.12	Facility		$2,534.90	$3,458.54	$3,642.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,498.19 / $3,669.71 / $4,916.79	Facility		$2,498.19	$3,669.71	$4,916.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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