Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $7,943.28	Facility		$2,137.96	$3,467.37	$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 $1,862.09 / $2,570.40 / $3,311.31	Professional		$1,862.09	$2,570.40	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,311.31	Facility		$1,348.96	$1,995.26	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $2,754.23	Facility		$1,995.26	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,311.31	Facility		$1,258.93	$1,949.84	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33