Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $7,943.28	Facility		$1,995.26	$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 $1,318.26 / $1,905.46 / $3,162.28	Facility		$1,318.26	$1,905.46	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,691.53	Facility		$2,187.76	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $3,090.30	Facility		$1,230.27	$1,905.46	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
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