Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,053.52 / $7,920.26 / $20,400.00	Facility		$2,053.52	$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 $1,909.40 / $2,244.40 / $2,683.18	Professional		$1,909.40	$2,244.40	$2,683.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,386.20 / $1,869.30 / $2,508.35	Facility		$1,386.20	$1,869.30	$2,508.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,452.05 / $1,953.86 / $2,102.46	Facility		$1,452.05	$1,953.86	$2,102.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,405.18 / $2,058.26 / $5,949.00	Facility		$1,405.18	$2,058.26	$5,949.00
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00