Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.50 / $7,920.26 / $20,400.00	Facility		$1,523.50	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,281.88 / $1,508.01 / $1,801.36	Professional		$1,281.88	$1,508.01	$1,801.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $1,293.06 / $1,691.50	Facility		$945.00	$1,293.06	$1,691.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $971.42 / $1,326.60 / $1,399.63	Facility		$971.42	$1,326.60	$1,399.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.39 / $1,376.22 / $3,865.00	Facility		$962.39	$1,376.22	$3,865.00
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