Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.49 / $7,920.26 / $20,400.00	Facility		$1,428.49	$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 $1,239.72 / $1,452.11 / $1,742.12	Professional		$1,239.72	$1,452.11	$1,742.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $861.13 / $1,205.28 / $1,609.90	Facility		$861.13	$1,205.28	$1,609.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.74 / $1,272.33 / $1,334.64	Facility		$900.74	$1,272.33	$1,334.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.32 / $1,296.22 / $5,949.00	Facility		$881.32	$1,296.22	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$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