Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $7,943.28	Facility		$1,949.84	$3,235.94	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,090.30	Professional		$1,819.70	$2,511.89	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,090.30	Facility		$1,230.27	$1,778.28	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $2,630.27	Facility		$1,862.09	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,951.21	Facility		$1,202.26	$1,737.80	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78