Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,276.09 / $12,274.80 / $21,735.00	Facility		$2,276.09	$12,274.80	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,814.00 / $1,814.00 / $1,814.00	Facility		$1,814.00	$1,814.00	$1,814.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.88 / $2,514.57 / $2,793.97	Professional		$1,202.88	$2,514.57	$2,793.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.32 / $2,165.04 / $3,874.73	Facility		$1,296.32	$2,165.04	$3,874.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,690.01 / $2,312.84 / $3,079.70	Facility		$1,690.01	$2,312.84	$3,079.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,414.71 / $2,574.44 / $3,819.96	Facility		$1,414.71	$2,574.44	$3,819.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00