Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $7,943.28	Facility		$1,412.54	$1,862.09	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,905.46	Professional		$1,230.27	$1,584.89	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,089.30	Facility		$724.44	$1,096.48	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,513.56	Facility		$1,000.00	$1,318.26	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,584.89	Facility		$724.44	$1,096.48	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68