Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $7,943.28	Facility		$2,691.53	$4,570.88	$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 $2,570.40 / $3,467.37 / $4,265.80	Professional		$2,570.40	$3,467.37	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $4,365.16	Facility		$1,819.70	$2,630.27	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $3,715.35	Facility		$3,019.95	$3,548.13	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $4,265.80	Facility		$1,698.24	$2,630.27	$4,265.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $25,118.86	Facility		$2,818.38	$7,943.28	$25,118.86