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 $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.32 / $1,653.52 / $1,979.05	Professional		$1,408.32	$1,653.52	$1,979.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $949.86 / $1,360.10 / $1,903.03	Facility		$949.86	$1,360.10	$1,903.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,063.05 / $1,481.37 / $1,573.16	Facility		$1,063.05	$1,481.37	$1,573.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.85 / $1,377.02 / $1,988.22	Facility		$999.85	$1,377.02	$1,988.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,832.95 / $35,824.41 / $50,994.29	Facility		$18,832.95	$35,824.41	$50,994.29
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