Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.18 / $10,180.24 / $42,921.00	Facility		$1,748.18	$10,180.24	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.00 / $1,662.38 / $2,045.36	Professional		$1,266.00	$1,662.38	$2,045.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $864.93 / $1,427.14 / $2,204.78	Facility		$864.93	$1,427.14	$2,204.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,097.88 / $1,518.22 / $1,601.97	Facility		$1,097.88	$1,518.22	$1,601.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.43 / $1,638.40 / $2,204.78	Facility		$929.43	$1,638.40	$2,204.78
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