Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,470.52 / $5,116.62 / $7,920.26	Facility		$4,470.52	$5,116.62	$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 $3,504.74 / $4,602.04 / $5,685.14	Professional		$3,504.74	$4,602.04	$5,685.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,332.13 / $3,950.80 / $6,255.20	Facility		$2,332.13	$3,950.80	$6,255.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,847.38 / $4,269.41 / $4,410.60	Facility		$2,847.38	$4,269.41	$4,410.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,354.44 / $4,527.20 / $6,255.20	Facility		$2,354.44	$4,527.20	$6,255.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,694.15 / $11,694.15 / $11,694.15	Facility		$11,694.15	$11,694.15	$11,694.15
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