Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.03 / $13,042.97 / $59,023.00	Facility		$1,866.03	$13,042.97	$59,023.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.41 / $3,250.41 / $5,022.74	Facility		$3,250.41	$3,250.41	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.97 / $1,773.95 / $2,183.30	Professional		$1,350.97	$1,773.95	$2,183.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.48 / $1,523.52 / $2,351.02	Facility		$926.48	$1,523.52	$2,351.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,167.65 / $1,605.99 / $1,695.77	Facility		$1,167.65	$1,605.99	$1,695.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,009.13 / $1,799.31 / $2,916.13	Facility		$1,009.13	$1,799.31	$2,916.13
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 $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00