Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.74 / $5,649.00 / $15,341.00	Facility		$1,478.74	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $4,924.56	Facility		$2,310.00	$2,310.00	$4,924.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,068.56 / $1,403.12 / $1,722.96	Professional		$1,068.56	$1,403.12	$1,722.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.51 / $1,204.55 / $1,835.46	Facility		$733.51	$1,204.55	$1,835.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $915.20 / $1,280.36 / $1,357.42	Facility		$915.20	$1,280.36	$1,357.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.57 / $1,368.54 / $2,334.29	Facility		$819.57	$1,368.54	$2,334.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
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