Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.24 / $7,920.26 / $20,400.00	Facility		$1,357.24	$7,920.26	$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 $1,153.05 / $1,352.86 / $1,620.33	Professional		$1,153.05	$1,352.86	$1,620.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.68 / $1,164.72 / $1,494.30	Facility		$824.68	$1,164.72	$1,494.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $853.20 / $1,177.19 / $1,251.56	Facility		$853.20	$1,177.19	$1,251.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.08 / $1,241.34 / $3,397.00	Facility		$868.08	$1,241.34	$3,397.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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