Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.38 / $7,920.26 / $20,400.00	Facility		$1,489.38	$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 $1,242.53 / $1,459.01 / $1,746.06	Professional		$1,242.53	$1,459.01	$1,746.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.72 / $1,297.01 / $1,883.60	Facility		$946.72	$1,297.01	$1,883.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $955.92 / $1,304.49 / $1,364.76	Facility		$955.92	$1,304.49	$1,364.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.72 / $1,394.58 / $1,883.60	Facility		$946.72	$1,394.58	$1,883.60
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