Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.41 / $8,369.76 / $30,593.00	Facility		$2,220.41	$8,369.76	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,775.07 / $2,330.83 / $2,860.22	Professional		$1,775.07	$2,330.83	$2,860.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,265.21 / $2,095.19 / $3,058.18	Facility		$1,265.21	$2,095.19	$3,058.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,571.23 / $2,162.36 / $2,269.96	Facility		$1,571.23	$2,162.36	$2,269.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.04 / $2,266.44 / $3,058.18	Facility		$1,318.04	$2,266.44	$3,058.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $32,532.53 / $38,534.69	Facility		$23,713.19	$32,532.53	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00