Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,318.00 / $20,380.99	Facility		$1,486.00	$5,318.00	$20,380.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,375.60	Facility		$4,375.60	$4,375.60	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,252.78 / $1,645.01 / $2,016.96	Professional		$1,252.78	$1,645.01	$2,016.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.79 / $1,274.63 / $2,566.28	Facility		$803.79	$1,274.63	$2,566.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,033.56 / $1,526.11 / $1,573.83	Facility		$1,033.56	$1,526.11	$1,573.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.65 / $1,696.50 / $2,566.28	Facility		$835.65	$1,696.50	$2,566.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,838.85 / $11,673.27 / $21,335.22	Facility		$8,838.85	$11,673.27	$21,335.22
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