Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,509.54 / $3,099.93 / $7,920.26	Facility		$2,509.54	$3,099.93	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,020.94 / $2,653.67 / $3,243.12	Professional		$2,020.94	$2,653.67	$3,243.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,321.90 / $2,172.12 / $3,470.07	Facility		$1,321.90	$2,172.12	$3,470.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,581.27 / $2,424.06 / $2,592.23	Facility		$1,581.27	$2,424.06	$2,592.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,321.90 / $2,518.40 / $3,470.07	Facility		$1,321.90	$2,518.40	$3,470.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,521.42 / $6,521.42 / $6,521.42	Facility		$6,521.42	$6,521.42	$6,521.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00