Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $13,803.84	Facility		$2,344.23	$2,951.21	$13,803.84
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 / $2,238.72 / $2,754.23	Professional		$1,659.59	$2,238.72	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,818.38	Facility		$1,148.15	$1,621.81	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,398.83	Facility		$1,659.59	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,691.53	Facility		$1,096.48	$1,584.89	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,511.38 / $13,803.84	Facility		$3,467.37	$8,511.38	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86