Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.68 / $9,972.00 / $42,921.00	Facility		$1,382.68	$9,972.00	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $5,022.74	Facility		$2,341.30	$2,341.30	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,108.18 / $1,455.14 / $1,802.38	Professional		$1,108.18	$1,455.14	$1,802.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $742.01 / $1,265.26 / $1,996.52	Facility		$742.01	$1,265.26	$1,996.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $984.50 / $1,327.30 / $1,392.93	Facility		$984.50	$1,327.30	$1,392.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $833.06 / $1,507.22 / $2,395.35	Facility		$833.06	$1,507.22	$2,395.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00