Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.21 / $5,318.00 / $15,341.00	Facility		$1,747.21	$5,318.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,494.00 / $1,961.76 / $2,412.63	Professional		$1,494.00	$1,961.76	$2,412.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.15 / $1,684.15 / $2,550.94	Facility		$1,028.15	$1,684.15	$2,550.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,251.60 / $1,781.53 / $1,883.37	Facility		$1,251.60	$1,781.53	$1,883.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,093.01 / $1,871.38 / $2,550.94	Facility		$1,093.01	$1,871.38	$2,550.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
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