Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,359.77 / $5,116.62 / $7,920.26	Facility		$4,359.77	$5,116.62	$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 $3,443.88 / $4,522.13 / $5,603.67	Professional		$3,443.88	$4,522.13	$5,603.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,243.81 / $3,882.20 / $6,034.91	Facility		$2,243.81	$3,882.20	$6,034.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,664.90 / $4,158.68 / $4,329.54	Facility		$2,664.90	$4,158.68	$4,329.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,312.53 / $4,369.53 / $6,034.91	Facility		$2,312.53	$4,369.53	$6,034.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,358.77 / $11,358.77 / $11,358.77	Facility		$11,358.77	$11,358.77	$11,358.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $9,529.00 / $12,786.00	Facility		$1,533.00	$9,529.00	$12,786.00