Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.92 / $4,684.68 / $8,728.00	Facility		$1,418.92	$4,684.68	$8,728.00
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 $1,359.24 / $1,592.10 / $1,910.07	Professional		$1,359.24	$1,592.10	$1,910.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $915.14 / $1,272.97 / $1,572.50	Facility		$915.14	$1,272.97	$1,572.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $908.52 / $1,325.26 / $1,514.20	Facility		$908.52	$1,325.26	$1,514.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.31 / $1,320.60 / $1,916.14	Facility		$963.31	$1,320.60	$1,916.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
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