Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $7,943.28	Facility		$1,995.26	$3,311.31	$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 $1,905.46 / $2,570.40 / $3,162.28	Professional		$1,905.46	$2,570.40	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,162.28	Facility		$1,258.93	$1,819.70	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $2,754.23	Facility		$1,905.46	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,019.95	Facility		$1,230.27	$1,819.70	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $13,489.63 / $21,877.62	Facility		$5,495.41	$13,489.63	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86