Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.84 / $2,747.00 / $7,920.26	Facility		$2,043.84	$2,747.00	$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 $1,618.64 / $2,125.42 / $2,651.51	Professional		$1,618.64	$2,125.42	$2,651.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.10 / $1,824.66 / $2,818.45	Facility		$998.10	$1,824.66	$2,818.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,347.91 / $1,925.58 / $2,035.92	Facility		$1,347.91	$1,925.58	$2,035.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,021.28 / $2,037.74 / $2,818.45	Facility		$1,021.28	$2,037.74	$2,818.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
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