Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.54 / $5,649.00 / $15,341.00	Facility		$1,594.54	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $5,022.74	Facility		$2,310.00	$2,310.00	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,285.90 / $1,688.50 / $2,081.27	Professional		$1,285.90	$1,688.50	$2,081.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.89 / $1,449.55 / $2,277.90	Facility		$831.89	$1,449.55	$2,277.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $1,545.02 / $1,613.36	Facility		$1,143.52	$1,545.02	$1,613.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.49 / $1,731.78 / $2,774.42	Facility		$934.49	$1,731.78	$2,774.42
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