Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,119.41 / $2,747.00 / $7,920.26	Facility		$2,119.41	$2,747.00	$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 $1,690.44 / $2,219.69 / $2,716.03	Professional		$1,690.44	$2,219.69	$2,716.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.94 / $1,905.59 / $2,947.11	Facility		$1,212.94	$1,905.59	$2,947.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,436.96 / $2,044.84 / $2,164.77	Facility		$1,436.96	$2,044.84	$2,164.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,246.91 / $2,153.00 / $2,947.11	Facility		$1,246.91	$2,153.00	$2,947.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,488.64 / $5,488.64 / $5,488.64	Facility		$5,488.64	$5,488.64	$5,488.64
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