Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.32 / $7,920.26 / $20,400.00	Facility		$1,466.32	$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 $1,246.76 / $1,460.36 / $1,752.01	Professional		$1,246.76	$1,460.36	$1,752.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $910.92 / $1,211.48 / $1,605.65	Facility		$910.92	$1,211.48	$1,605.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $921.03 / $1,247.78 / $1,350.72	Facility		$921.03	$1,247.78	$1,350.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $927.72 / $1,319.41 / $5,949.00	Facility		$927.72	$1,319.41	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,291.08 / $33,904.28 / $42,500.16	Facility	50	$25,291.08	$33,904.28	$42,500.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00