Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,753.10 / $13,042.97 / $59,023.00	Facility		$3,753.10	$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 $2,969.18 / $3,898.81 / $4,830.79	Professional		$2,969.18	$3,898.81	$4,830.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.98 / $3,347.07 / $5,325.90	Facility		$1,799.98	$3,347.07	$5,325.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,439.44 / $3,591.20 / $3,737.96	Facility		$2,439.44	$3,591.20	$3,737.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,860.67 / $3,956.97 / $6,422.17	Facility		$1,860.67	$3,956.97	$6,422.17
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