Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,672.10 / $3,319.18 / $7,920.26	Facility		$2,672.10	$3,319.18	$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 $2,158.21 / $2,833.92 / $3,476.08	Professional		$2,158.21	$2,833.92	$3,476.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.25 / $2,475.03 / $3,794.03	Facility		$1,481.25	$2,475.03	$3,794.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,886.64 / $2,597.59 / $2,716.18	Facility		$1,886.64	$2,597.59	$2,716.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,573.92 / $2,812.86 / $3,794.03	Facility		$1,573.92	$2,812.86	$3,794.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,954.39 / $6,954.39 / $6,954.39	Facility		$6,954.39	$6,954.39	$6,954.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00