Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,320.41 / $2,836.21 / $7,920.26	Facility		$2,320.41	$2,836.21	$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 $1,849.53 / $2,428.60 / $2,969.47	Professional		$1,849.53	$2,428.60	$2,969.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,269.59 / $2,084.91 / $3,231.27	Facility		$1,269.59	$2,084.91	$3,231.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,559.98 / $2,253.05 / $2,358.40	Facility		$1,559.98	$2,253.05	$2,358.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,360.62 / $2,374.07 / $3,231.27	Facility		$1,360.62	$2,374.07	$3,231.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,083.09 / $6,083.09 / $6,083.09	Facility		$6,083.09	$6,083.09	$6,083.09
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