Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,459.24 / $5,116.62 / $7,920.26	Facility		$4,459.24	$5,116.62	$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 $3,555.71 / $4,668.97 / $5,697.32	Professional		$3,555.71	$4,668.97	$5,697.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,431.27 / $4,008.26 / $6,172.83	Facility		$2,431.27	$4,008.26	$6,172.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,025.42 / $4,328.87 / $4,554.66	Facility		$3,025.42	$4,328.87	$4,554.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,453.26 / $4,536.95 / $6,172.83	Facility		$2,453.26	$4,536.95	$6,172.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,703.03 / $11,703.03 / $11,703.03	Facility		$11,703.03	$11,703.03	$11,703.03
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