Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.77 / $7,920.26 / $20,400.00	Facility		$1,355.77	$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 $1,150.13 / $1,347.70 / $1,616.23	Professional		$1,150.13	$1,347.70	$1,616.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.54 / $1,146.88 / $1,511.46	Facility		$849.54	$1,146.88	$1,511.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $842.06 / $1,164.46 / $1,258.93	Facility		$842.06	$1,164.46	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.54 / $1,214.83 / $5,949.00	Facility		$849.54	$1,214.83	$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