Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.02 / $7,920.26 / $30,593.00	Facility		$1,869.02	$7,920.26	$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 $1,497.98 / $1,966.99 / $2,409.10	Professional		$1,497.98	$1,966.99	$2,409.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.39 / $1,778.57 / $2,609.27	Facility		$1,069.39	$1,778.57	$2,609.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,328.98 / $1,824.81 / $1,914.19	Facility		$1,328.98	$1,824.81	$1,914.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,106.55 / $1,943.53 / $2,609.27	Facility		$1,106.55	$1,943.53	$2,609.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,453.20 / $11,142.10 / $14,336.76	Facility		$8,453.20	$11,142.10	$14,336.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00