Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.72 / $10,347.48 / $32,689.00	Facility		$1,610.72	$10,347.48	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $4,924.56	Facility		$1,664.70	$1,664.70	$4,924.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,371.30 / $2,014.75 / $8,712.27	Professional		$1,371.30	$2,014.75	$8,712.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.78 / $2,373.13 / $11,888.92	Facility		$1,103.78	$2,373.13	$11,888.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,492.75 / $6,860.30 / $9,189.71	Facility		$1,492.75	$6,860.30	$9,189.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,103.78 / $3,652.30 / $11,888.92	Facility		$1,103.78	$3,652.30	$11,888.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,734.91 / $26,255.00	Facility		$2,800.00	$17,734.91	$26,255.00