Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.86 / $7,920.26 / $20,400.00	Facility		$1,429.86	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,250.82 / $1,465.12 / $1,757.72	Professional		$1,250.82	$1,465.12	$1,757.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $928.53 / $1,291.68 / $1,989.11	Facility		$928.53	$1,291.68	$1,989.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $964.16 / $1,297.79 / $1,387.57	Facility		$964.16	$1,297.79	$1,387.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $928.53 / $1,327.80 / $1,989.11	Facility		$928.53	$1,327.80	$1,989.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00