Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,093.36 / $4,988.28 / $7,920.26	Facility		$4,093.36	$4,988.28	$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 $3,244.40 / $4,260.18 / $5,217.85	Professional		$3,244.40	$4,260.18	$5,217.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,210.35 / $3,657.32 / $5,726.69	Facility		$2,210.35	$3,657.32	$5,726.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,590.15 / $3,952.27 / $4,127.87	Facility		$2,590.15	$3,952.27	$4,127.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,263.31 / $4,148.96 / $5,726.69	Facility		$2,263.31	$4,148.96	$5,726.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,721.75 / $10,721.75 / $10,721.75	Facility		$10,721.75	$10,721.75	$10,721.75
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