Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $7,943.28	Facility		$1,778.28	$2,951.21	$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 $1,659.59 / $2,290.87 / $2,818.38	Professional		$1,659.59	$2,290.87	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,884.03	Facility		$1,174.90	$1,621.81	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,398.83	Facility		$1,698.24	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,754.23	Facility		$1,122.02	$1,621.81	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
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