Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.25 / $2,747.00 / $7,920.26	Facility		$1,652.25	$2,747.00	$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 $1,331.93 / $1,748.94 / $2,144.15	Professional		$1,331.93	$1,748.94	$2,144.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $906.02 / $1,501.45 / $2,289.92	Facility		$906.02	$1,501.45	$2,289.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,054.94 / $1,586.56 / $1,684.38	Facility		$1,054.94	$1,586.56	$1,684.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $951.32 / $1,681.19 / $2,289.92	Facility		$951.32	$1,681.19	$2,289.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,301.49 / $4,301.49 / $4,301.49	Facility		$4,301.49	$4,301.49	$4,301.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00