Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,211.36 / $2,747.00 / $7,920.26	Facility		$2,211.36	$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 $1,764.56 / $2,317.03 / $2,838.39	Professional		$1,764.56	$2,317.03	$2,838.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,206.95 / $1,989.14 / $3,072.07	Facility		$1,206.95	$1,989.14	$3,072.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,541.80 / $2,149.56 / $2,225.73	Facility		$1,541.80	$2,149.56	$2,225.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,291.67 / $2,234.03 / $3,072.07	Facility		$1,291.67	$2,234.03	$3,072.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.79 / $5,754.79 / $5,754.79	Facility		$5,754.79	$5,754.79	$5,754.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00