Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.69 / $8,952.00 / $32,689.00	Facility		$1,988.69	$8,952.00	$32,689.00
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 $1,587.88 / $2,085.03 / $2,555.19	Professional		$1,587.88	$2,085.03	$2,555.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.68 / $1,789.98 / $2,761.06	Facility		$1,077.68	$1,789.98	$2,761.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,932.28 / $2,015.36	Facility		$1,316.25	$1,932.28	$2,015.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,166.00 / $2,024.00 / $2,761.06	Facility		$1,166.00	$2,024.00	$2,761.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,565.00 / $12,035.54 / $14,192.15	Facility		$5,565.00	$12,035.54	$14,192.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,243.96 / $12,835.00 / $26,404.00	Facility		$1,243.96	$12,835.00	$26,404.00