Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.40 / $4,635.04 / $7,920.26	Facility		$1,833.40	$4,635.04	$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 $1,462.95 / $1,920.99 / $2,351.88	Professional		$1,462.95	$1,920.99	$2,351.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.12 / $1,649.14 / $2,539.85	Facility		$1,011.12	$1,649.14	$2,539.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,212.30 / $1,776.84 / $1,872.65	Facility		$1,212.30	$1,776.84	$1,872.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.81 / $1,867.34 / $2,539.85	Facility		$1,044.81	$1,867.34	$2,539.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,782.39 / $4,782.39 / $4,782.39	Facility		$4,782.39	$4,782.39	$4,782.39
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