Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $7,943.28	Facility		$1,548.82	$2,570.40	$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 $1,445.44 / $1,995.26 / $2,398.83	Professional		$1,445.44	$1,995.26	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,511.89	Facility		$1,023.29	$1,445.44	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,089.30	Facility		$1,479.11	$1,995.26	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,398.83	Facility		$977.24	$1,445.44	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
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