Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $26,915.35	Facility		$2,137.96	$7,943.28	$26,915.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,630.27	Professional		$1,621.81	$2,187.76	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,951.21	Facility		$1,047.13	$1,659.59	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,187.76	Facility		$1,737.80	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,344.23	Facility		$1,071.52	$1,621.81	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13