Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $13,803.84	Facility		$2,041.74	$2,630.27	$13,803.84
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 $1,548.82 / $2,041.74 / $2,454.71	Professional		$1,548.82	$2,041.74	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,570.40	Facility		$1,023.29	$1,584.89	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,089.30	Facility		$1,621.81	$1,995.26	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,290.87	Facility		$1,047.13	$1,584.89	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25