Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $7,943.28	Facility		$1,659.59	$2,754.23	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,630.27	Professional		$1,548.82	$2,137.96	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,691.53	Facility		$1,096.48	$1,548.82	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,238.72	Facility		$1,584.89	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,570.40	Facility		$1,023.29	$1,548.82	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $25,118.86	Facility		$2,818.38	$7,943.28	$25,118.86