Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.88 / $2,747.00 / $7,920.26	Facility		$1,919.88	$2,747.00	$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 $1,532.38 / $2,012.15 / $2,462.27	Professional		$1,532.38	$2,012.15	$2,462.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.68 / $1,727.41 / $2,682.39	Facility		$1,051.68	$1,727.41	$2,682.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,279.80 / $1,866.72 / $1,951.04	Facility		$1,279.80	$1,866.72	$1,951.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.34 / $1,962.42 / $2,682.39	Facility		$1,131.34	$1,962.42	$2,682.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,014.83 / $5,014.83 / $5,014.83	Facility		$5,014.83	$5,014.83	$5,014.83
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