Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.08 / $7,920.26 / $20,400.00	Facility		$1,572.08	$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 $1,299.28 / $1,521.91 / $1,825.82	Professional		$1,299.28	$1,521.91	$1,825.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.28 / $1,299.70 / $1,755.25	Facility		$969.28	$1,299.70	$1,755.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,014.30 / $1,369.63 / $1,451.22	Facility		$1,014.30	$1,369.63	$1,451.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $978.84 / $1,452.01 / $5,949.00	Facility		$978.84	$1,452.01	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$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