Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,615.15 / $4,438.25 / $18,360.00	Facility		$3,615.15	$4,438.25	$18,360.00
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 $2,900.32 / $3,808.38 / $4,653.25	Professional		$2,900.32	$3,808.38	$4,653.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,986.27 / $3,438.48 / $5,066.72	Facility		$1,986.27	$3,438.48	$5,066.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,593.04 / $3,533.11 / $3,707.78	Facility		$2,593.04	$3,533.11	$3,707.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,996.44 / $3,725.61 / $5,066.72	Facility		$1,996.44	$3,725.61	$5,066.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,539.89 / $9,539.89 / $9,539.89	Facility		$9,539.89	$9,539.89	$9,539.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00