Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $7,943.28	Facility		$1,584.89	$2,818.38	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,691.53	Professional		$1,584.89	$2,187.76	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,630.27	Facility		$1,071.52	$1,548.82	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,290.87	Facility		$1,621.81	$2,187.76	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,454.71	Facility		$1,047.13	$1,548.82	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78