Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.59 / $7,920.26 / $20,400.00	Facility		$1,922.59	$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 $1,627.90 / $1,906.80 / $2,287.62	Professional		$1,627.90	$1,906.80	$2,287.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.23 / $1,586.58 / $2,112.25	Facility		$1,216.23	$1,586.58	$2,112.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,211.73 / $1,664.95 / $1,763.44	Facility		$1,211.73	$1,664.95	$1,763.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.14 / $1,735.11 / $3,865.00	Facility		$1,221.14	$1,735.11	$3,865.00
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00