Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,495.41 / $7,943.28	Facility		$3,388.44	$5,495.41	$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 $2,951.21 / $3,981.07 / $5,248.07	Professional		$2,951.21	$3,981.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $5,370.32	Facility		$2,137.96	$3,090.30	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $4,365.16	Facility		$3,235.94	$4,265.80	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $5,128.61	Facility		$1,995.26	$3,090.30	$5,128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78