Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $7,943.28	Facility		$1,819.70	$3,090.30	$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 $1,737.80 / $2,344.23 / $2,884.03	Professional		$1,737.80	$2,344.23	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,951.21	Facility		$1,230.27	$1,737.80	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,511.89	Facility		$1,778.28	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,884.03	Facility		$1,148.15	$1,737.80	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
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