Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $7,943.28	Facility		$1,584.89	$2,630.27	$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 $1,513.56 / $2,041.74 / $2,511.89	Professional		$1,513.56	$2,041.74	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,511.89	Facility		$1,047.13	$1,479.11	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,187.76	Facility		$1,513.56	$2,041.74	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,454.71	Facility		$1,000.00	$1,479.11	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
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