Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $7,943.28	Facility		$1,995.26	$3,388.44	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,162.28	Professional		$1,778.28	$2,398.83	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,311.31	Facility		$1,288.25	$1,949.84	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $2,691.53	Facility		$2,137.96	$2,630.27	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,162.28	Facility		$1,230.27	$1,949.84	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,168.69 / $12,022.64	Facility		$1,621.81	$4,168.69	$12,022.64