Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.22 / $7,920.26 / $20,400.00	Facility		$1,639.22	$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 $1,392.68 / $1,631.27 / $1,957.06	Professional		$1,392.68	$1,631.27	$1,957.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.31 / $1,354.08 / $1,790.10	Facility		$1,015.31	$1,354.08	$1,790.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,022.30 / $1,393.84 / $1,509.51	Facility		$1,022.30	$1,393.84	$1,509.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,033.47 / $1,472.59 / $3,397.00	Facility		$1,033.47	$1,472.59	$3,397.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
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