Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,148.10 / $2,747.00 / $7,920.26	Facility		$2,148.10	$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 $1,714.64 / $2,251.48 / $2,759.67	Professional		$1,714.64	$2,251.48	$2,759.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.55 / $1,942.12 / $2,989.69	Facility		$1,189.55	$1,942.12	$2,989.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,525.21 / $2,088.73 / $2,180.85	Facility		$1,525.21	$2,088.73	$2,180.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,256.95 / $2,183.12 / $2,989.69	Facility		$1,256.95	$2,183.12	$2,989.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,584.45 / $5,584.45 / $5,584.45	Facility		$5,584.45	$5,584.45	$5,584.45
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