Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.77 / $14,614.14 / $59,252.00	Facility		$2,121.77	$14,614.14	$59,252.00
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 $1,547.82 / $2,032.43 / $2,487.17	Professional		$1,547.82	$2,032.43	$2,487.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.09 / $1,744.68 / $2,704.60	Facility		$1,059.09	$1,744.68	$2,704.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.33 / $1,885.52 / $1,972.48	Facility		$1,239.33	$1,885.52	$1,972.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,138.16 / $1,981.20 / $2,704.60	Facility		$1,138.16	$1,981.20	$2,704.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,073.35 / $5,073.35 / $5,073.35	Facility		$5,073.35	$5,073.35	$5,073.35
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