Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,323.31 / $15,657.19 / $59,252.00	Facility		$2,323.31	$15,657.19	$59,252.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $8,429.35	Facility		$1,664.70	$1,664.70	$8,429.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,875.32 / $2,462.46 / $3,016.73	Professional		$1,875.32	$2,462.46	$3,016.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.46 / $1,867.04 / $3,534.23	Facility		$1,197.46	$1,867.04	$3,534.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,554.08 / $2,262.59 / $2,366.44	Facility		$1,554.08	$2,262.59	$2,366.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.50 / $2,360.23 / $3,534.23	Facility		$1,200.50	$2,360.23	$3,534.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $32,532.53 / $38,534.69	Facility		$23,713.19	$32,532.53	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,465.66 / $18,628.00 / $24,872.00	Facility		$1,465.66	$18,628.00	$24,872.00