Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.49 / $5,918.50 / $13,746.00	Facility		$1,379.49	$5,918.50	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.70 / $1,536.42 / $1,843.27	Professional		$1,311.70	$1,536.42	$1,843.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $893.13 / $1,272.85 / $1,673.65	Facility		$893.13	$1,272.85	$1,673.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $936.29 / $1,300.45 / $1,410.35	Facility		$936.29	$1,300.45	$1,410.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $940.14 / $1,360.90 / $5,949.00	Facility		$940.14	$1,360.90	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,565.08 / $14,391.80	Facility		$4,846.16	$6,565.08	$14,391.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00