Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,216.82 / $5,116.62 / $15,243.95	Facility		$3,216.82	$5,116.62	$15,243.95
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 $2,565.42 / $3,368.63 / $4,116.43	Professional		$2,565.42	$3,368.63	$4,116.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,774.42 / $2,891.92 / $4,454.91	Facility		$1,774.42	$2,891.92	$4,454.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,133.00 / $3,123.54 / $3,283.67	Facility		$2,133.00	$3,123.54	$3,283.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,837.88 / $3,283.20 / $4,454.91	Facility		$1,837.88	$3,283.20	$4,454.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,421.92 / $8,421.92 / $8,421.92	Facility		$8,421.92	$8,421.92	$8,421.92
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