Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.54 / $2,747.00 / $7,920.26	Facility		$1,727.54	$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 $1,380.35 / $1,812.53 / $2,219.62	Professional		$1,380.35	$1,812.53	$2,219.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $985.31 / $1,556.03 / $2,391.75	Facility		$985.31	$1,556.03	$2,391.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,134.98 / $1,667.63 / $1,765.45	Facility		$1,134.98	$1,667.63	$1,765.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.29 / $1,753.15 / $2,391.75	Facility		$1,010.29	$1,753.15	$2,391.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,500.22 / $4,500.22 / $4,500.22	Facility		$4,500.22	$4,500.22	$4,500.22
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