Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.44 / $7,920.26 / $20,400.00	Facility		$1,271.44	$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 $1,072.52 / $1,256.67 / $1,507.16	Professional		$1,072.52	$1,256.67	$1,507.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.05 / $1,078.47 / $1,431.40	Facility		$808.05	$1,078.47	$1,431.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $806.21 / $1,100.40 / $1,164.46	Facility		$806.21	$1,100.40	$1,164.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.05 / $1,155.51 / $5,949.00	Facility		$808.05	$1,155.51	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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