Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,835.51 / $3,465.32 / $7,920.26	Facility		$2,835.51	$3,465.32	$7,920.26
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 $2,253.03 / $2,958.44 / $3,611.53	Professional		$2,253.03	$2,958.44	$3,611.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,524.97 / $2,539.79 / $3,968.05	Facility		$1,524.97	$2,539.79	$3,968.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,899.45 / $2,744.61 / $2,876.98	Facility		$1,899.45	$2,744.61	$2,876.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,587.72 / $2,914.51 / $3,968.05	Facility		$1,587.72	$2,914.51	$3,968.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,467.21 / $7,467.21 / $7,467.21	Facility		$7,467.21	$7,467.21	$7,467.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00