Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.86 / $7,920.26 / $20,400.00	Facility		$1,173.86	$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 $996.47 / $1,167.90 / $1,401.15	Professional		$996.47	$1,167.90	$1,401.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.78 / $937.44 / $1,246.95	Facility		$664.78	$937.44	$1,246.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.38 / $983.94 / $1,071.33	Facility		$716.38	$983.94	$1,071.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.60 / $1,033.83 / $7,090.00	Facility		$686.60	$1,033.83	$7,090.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
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