Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $7,943.28	Facility		$3,019.95	$5,011.87	$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 $2,754.23 / $3,801.89 / $4,677.35	Professional		$2,754.23	$3,801.89	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $4,786.30	Facility		$1,862.09	$2,691.53	$4,786.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $4,073.80	Facility		$2,884.03	$3,890.45	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $4,570.88	Facility		$1,819.70	$2,691.53	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
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