Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,512.17 / $7,920.26 / $20,400.00	Facility		$2,512.17	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,283.32 / $2,689.35 / $3,208.64	Professional		$2,283.32	$2,689.35	$3,208.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,759.04 / $2,409.88 / $3,479.33	Facility		$1,759.04	$2,409.88	$3,479.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,773.75 / $2,420.23 / $2,556.12	Facility		$1,773.75	$2,420.23	$2,556.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,759.04 / $2,570.59 / $3,479.33	Facility		$1,759.04	$2,570.59	$3,479.33
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00