Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $6,619.65 / $7,920.26	Facility		$5,116.62	$6,619.65	$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 $4,732.22 / $6,213.85 / $7,673.69	Professional		$4,732.22	$6,213.85	$7,673.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,955.67 / $5,334.48 / $8,391.49	Facility		$2,955.67	$5,334.48	$8,391.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,696.42 / $5,764.72 / $5,954.96	Facility		$3,696.42	$5,764.72	$5,954.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,955.67 / $6,049.88 / $8,391.49	Facility		$2,955.67	$6,049.88	$8,391.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,740.10 / $15,740.10 / $15,740.10	Facility		$15,740.10	$15,740.10	$15,740.10
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