Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,927.04 / $13,042.97 / $59,023.00	Facility		$2,927.04	$13,042.97	$59,023.00
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 $2,338.53 / $3,070.70 / $3,750.43	Professional		$2,338.53	$3,070.70	$3,750.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,563.82 / $2,636.15 / $4,093.00	Facility		$1,563.82	$2,636.15	$4,093.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,961.52 / $2,848.75 / $2,986.86	Facility		$1,961.52	$2,848.75	$2,986.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $3,002.58 / $4,093.00	Facility		$1,664.70	$3,002.58	$4,093.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,680.18 / $7,680.18 / $7,680.18	Facility		$7,680.18	$7,680.18	$7,680.18
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