Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,031.37 / $4,903.34 / $18,360.00	Facility		$4,031.37	$4,903.34	$18,360.00
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 $3,196.20 / $4,196.89 / $5,136.89	Professional		$3,196.20	$4,196.89	$5,136.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,145.35 / $3,643.54 / $5,675.78	Facility		$2,145.35	$3,643.54	$5,675.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,877.45 / $3,893.54 / $4,028.71	Facility		$2,877.45	$3,893.54	$4,028.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,194.86 / $4,142.39 / $5,675.78	Facility		$2,194.86	$4,142.39	$5,675.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,535.39 / $10,535.39 / $10,535.39	Facility		$10,535.39	$10,535.39	$10,535.39
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