Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,439.54 / $2,942.62 / $7,920.26	Facility		$2,439.54	$2,942.62	$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 $1,912.83 / $2,511.71 / $3,056.86	Professional		$1,912.83	$2,511.71	$3,056.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.36 / $2,445.33 / $3,540.78	Facility		$1,338.36	$2,445.33	$3,540.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,759.22 / $2,330.17 / $2,460.23	Facility		$1,759.22	$2,330.17	$2,460.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,418.94 / $2,667.11 / $3,484.88	Facility		$1,418.94	$2,667.11	$3,484.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,471.71 / $6,471.71 / $6,471.71	Facility		$6,471.71	$6,471.71	$6,471.71
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