Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,622.77 / $4,403.18 / $7,920.26	Facility		$3,622.77	$4,403.18	$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 $2,860.74 / $3,756.40 / $4,599.28	Professional		$2,860.74	$3,756.40	$4,599.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,966.49 / $3,224.82 / $5,087.10	Facility		$1,966.49	$3,224.82	$5,087.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,466.03 / $3,484.89 / $3,624.03	Facility		$2,466.03	$3,484.89	$3,624.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,003.68 / $3,701.39 / $5,087.10	Facility		$2,003.68	$3,701.39	$5,087.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,500.84 / $9,500.84 / $9,500.84	Facility		$9,500.84	$9,500.84	$9,500.84
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