Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $7,943.28	Facility		$2,041.74	$3,388.44	$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 $1,905.46 / $2,630.27 / $3,235.94	Professional		$1,905.46	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,311.31	Facility		$1,348.96	$1,905.46	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $2,818.38	Facility		$1,995.26	$2,691.53	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,162.28	Facility		$1,258.93	$1,905.46	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
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