Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.97 / $2,747.00 / $13,746.00	Facility		$1,257.97	$2,747.00	$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 $1,199.80 / $1,463.71 / $1,866.76	Professional		$1,199.80	$1,463.71	$1,866.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.84 / $1,168.26 / $1,756.76	Facility		$775.84	$1,168.26	$1,756.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.51 / $1,428.97 / $1,553.73	Facility		$906.51	$1,428.97	$1,553.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.37 / $1,212.98 / $2,168.67	Facility		$782.37	$1,212.98	$2,168.67
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