Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,933.26 / $2,747.00 / $7,920.26	Facility		$1,933.26	$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 $1,534.76 / $2,015.28 / $2,466.09	Professional		$1,534.76	$2,015.28	$2,466.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.00 / $1,730.09 / $2,678.69	Facility		$1,062.00	$1,730.09	$2,678.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,277.55 / $1,869.62 / $1,967.12	Facility		$1,277.55	$1,869.62	$1,967.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,094.35 / $1,968.81 / $2,678.69	Facility		$1,094.35	$1,968.81	$2,678.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,043.22 / $5,043.22 / $5,043.22	Facility		$5,043.22	$5,043.22	$5,043.22
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