Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
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 $2,652.49 / $3,111.84 / $3,727.43	Professional		$2,652.49	$3,111.84	$3,727.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,782.32 / $2,517.12 / $3,477.33	Facility		$1,782.32	$2,517.12	$3,477.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,975.31 / $2,731.59 / $2,997.58	Facility		$1,975.31	$2,731.59	$2,997.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,782.32 / $2,540.14 / $3,623.76	Facility		$1,782.32	$2,540.14	$3,623.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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