Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,116.62 / $20,400.00	Facility		$1,924.00	$5,116.62	$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 $1,685.38 / $1,981.00 / $2,368.39	Professional		$1,685.38	$1,981.00	$2,368.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.75 / $1,649.82 / $2,211.69	Facility		$1,182.75	$1,649.82	$2,211.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,255.82 / $1,707.16 / $1,831.78	Facility		$1,255.82	$1,707.16	$1,831.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,187.05 / $1,779.88 / $5,949.00	Facility		$1,187.05	$1,779.88	$5,949.00
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