Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $7,943.28	Facility		$1,862.09	$3,090.30	$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 $1,737.80 / $2,398.83 / $2,884.03	Professional		$1,737.80	$2,398.83	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,019.95	Facility		$1,230.27	$1,621.81	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,511.89	Facility		$2,041.74	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,951.21	Facility		$1,174.90	$1,819.70	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
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