Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,901.32	Facility		$2,310.00	$2,310.00	$2,901.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.53 / $1,773.37 / $2,172.84	Professional		$1,350.53	$1,773.37	$2,172.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.39 / $1,603.94 / $2,333.44	Facility		$923.39	$1,603.94	$2,333.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,213.73 / $1,645.20 / $1,720.56	Facility		$1,213.73	$1,645.20	$1,720.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,042.31 / $1,813.93 / $2,958.76	Facility		$1,042.31	$1,813.93	$2,958.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
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