Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.84 / $8,369.76 / $30,593.00	Facility		$1,836.84	$8,369.76	$30,593.00
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 $1,451.73 / $1,906.26 / $2,337.34	Professional		$1,451.73	$1,906.26	$2,337.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $996.80 / $1,663.87 / $2,564.84	Facility		$996.80	$1,663.87	$2,564.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,222.08 / $1,768.48 / $1,838.85	Facility		$1,222.08	$1,768.48	$1,838.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,080.32 / $1,905.06 / $3,153.48	Facility		$1,080.32	$1,905.06	$3,153.48
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