Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $7,943.28	Facility		$2,630.27	$4,365.16	$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 $2,454.71 / $3,388.44 / $4,073.80	Professional		$2,454.71	$3,388.44	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,265.80	Facility		$1,737.80	$2,454.71	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,548.13	Facility		$2,884.03	$3,388.44	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $4,073.80	Facility		$1,621.81	$2,454.71	$4,073.80
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