Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $6,926.08 / $7,920.26	Facility		$5,116.62	$6,926.08	$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 $5,020.74 / $6,592.69 / $8,028.76	Professional		$5,020.74	$6,592.69	$8,028.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,269.04 / $5,044.30 / $7,907.44	Facility		$3,269.04	$5,044.30	$7,907.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,523.59 / $5,298.15 / $6,454.11	Facility		$3,523.59	$5,298.15	$6,454.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,310.37 / $5,219.43 / $8,226.60	Facility		$3,310.37	$5,219.43	$8,226.60
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $4,805.96 / $4,805.96 / $4,805.96	Facility	62	$4,805.96	$4,805.96	$4,805.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,760.68 / $12,760.68 / $12,760.68	Facility		$12,760.68	$12,760.68	$12,760.68
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