Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.25 / $4,962.67 / $15,341.00	Facility		$1,750.25	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,679.95 / $1,967.76 / $2,360.76	Professional		$1,679.95	$1,967.76	$2,360.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.16 / $1,597.68 / $2,108.00	Facility		$1,047.16	$1,597.68	$2,108.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,177.19 / $1,667.63 / $1,867.29	Facility		$1,177.19	$1,667.63	$1,867.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,103.04 / $1,626.78 / $2,343.46	Facility		$1,103.04	$1,626.78	$2,343.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00