Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,646.47 / $3,242.20 / $7,920.26	Facility		$2,646.47	$3,242.20	$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 $2,112.01 / $2,773.26 / $3,383.76	Professional		$2,112.01	$2,773.26	$3,383.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,428.70 / $2,416.38 / $3,623.72	Facility		$1,428.70	$2,416.38	$3,623.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,783.80 / $2,553.37 / $2,681.34	Facility		$1,783.80	$2,553.37	$2,681.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,533.21 / $2,720.34 / $3,623.72	Facility		$1,533.21	$2,720.34	$3,623.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,839.06 / $6,839.06 / $6,839.06	Facility		$6,839.06	$6,839.06	$6,839.06
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