Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.88 / $8,952.00 / $32,689.00	Facility		$2,071.88	$8,952.00	$32,689.00
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 $1,661.30 / $2,181.44 / $2,675.19	Professional		$1,661.30	$2,181.44	$2,675.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,121.53 / $1,872.74 / $2,886.95	Facility		$1,121.53	$1,872.74	$2,886.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,369.80 / $1,993.17 / $2,109.16	Facility		$1,369.80	$1,993.17	$2,109.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,109.01 / $2,886.95	Facility		$1,139.00	$2,109.01	$2,886.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,139.46 / $9,811.19 / $12,827.23	Facility		$4,139.46	$9,811.19	$12,827.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00