Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,909.31 / $7,074.00 / $20,400.00	Facility		$1,909.31	$7,074.00	$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 $1,777.72 / $2,086.28 / $2,498.15	Professional		$1,777.72	$2,086.28	$2,498.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.05 / $1,810.42 / $2,662.95	Facility		$1,341.05	$1,810.42	$2,662.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,343.03 / $1,853.22 / $1,932.95	Facility		$1,343.03	$1,853.22	$1,932.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,341.05 / $1,877.47 / $2,464.46	Facility		$1,341.05	$1,877.47	$2,464.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00