Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.63 / $7,896.00 / $13,320.00	Facility		$1,458.63	$7,896.00	$13,320.00
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 $1,362.19 / $1,595.57 / $1,914.22	Professional		$1,362.19	$1,595.57	$1,914.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.77 / $1,388.84 / $2,015.03	Facility		$1,028.77	$1,388.84	$2,015.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,025.57 / $1,391.59 / $1,477.35	Facility		$1,025.57	$1,391.59	$1,477.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.31 / $1,451.70 / $2,015.03	Facility		$1,023.31	$1,451.70	$2,015.03
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 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00