Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $3,087.79 / $13,746.00	Facility		$1,924.00	$3,087.79	$13,746.00
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 $2,203.94 / $2,796.82 / $3,333.39	Professional		$2,203.94	$2,796.82	$3,333.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.00 / $2,192.69 / $3,366.17	Facility		$1,437.00	$2,192.69	$3,366.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,865.94 / $2,589.60 / $2,838.79	Facility		$1,865.94	$2,589.60	$2,838.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,487.38 / $2,317.79 / $4,010.62	Facility		$1,487.38	$2,317.79	$4,010.62
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00