Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,435.81 / $7,920.26 / $20,400.00	Facility		$2,435.81	$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 $2,252.30 / $2,657.47 / $3,165.05	Professional		$2,252.30	$2,657.47	$3,165.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,702.35 / $2,332.21 / $3,069.90	Facility		$1,702.35	$2,332.21	$3,069.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,739.84 / $2,376.48 / $2,460.23	Facility		$1,739.84	$2,376.48	$2,460.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,702.35 / $2,487.60 / $4,230.75	Facility		$1,702.35	$2,487.60	$4,230.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
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