Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.93 / $2,747.00 / $7,920.26	Facility		$1,524.93	$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 $1,228.65 / $1,613.33 / $1,984.19	Professional		$1,228.65	$1,613.33	$1,984.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $864.37 / $1,385.02 / $2,092.78	Facility		$864.37	$1,385.02	$2,092.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,073.17 / $1,456.58 / $1,569.14	Facility		$1,073.17	$1,456.58	$1,569.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.94 / $1,540.30 / $2,092.78	Facility		$908.94	$1,540.30	$2,092.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,925.26 / $3,925.26 / $3,925.26	Facility		$3,925.26	$3,925.26	$3,925.26
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