Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $7,943.28	Facility		$2,570.40	$4,265.80	$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 $2,398.83 / $3,235.94 / $3,981.07	Professional		$2,398.83	$3,235.94	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $4,168.69	Facility		$1,698.24	$2,398.83	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $3,467.37	Facility		$2,818.38	$3,311.31	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,981.07	Facility		$1,584.89	$2,398.83	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
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