Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.58 / $8,952.00 / $32,689.00	Facility		$1,728.58	$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 $1,261.67 / $1,656.68 / $2,036.40	Professional		$1,261.67	$1,656.68	$2,036.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.62 / $1,422.25 / $2,164.98	Facility		$849.62	$1,422.25	$2,164.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.33 / $1,514.20 / $1,599.96	Facility		$1,092.33	$1,514.20	$1,599.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $927.06 / $1,592.36 / $2,164.98	Facility		$927.06	$1,592.36	$2,164.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,029.79 / $10,878.03 / $12,827.23	Facility		$5,029.79	$10,878.03	$12,827.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00