Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $13,182.57	Facility		$2,238.72	$3,890.45	$13,182.57
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 $1,584.89 / $2,137.96 / $2,630.27	Professional		$1,584.89	$2,137.96	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,818.38	Facility		$1,122.02	$1,513.56	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,238.72	Facility		$1,862.09	$2,187.76	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,630.27	Facility		$1,047.13	$1,659.59	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $11,748.98 / $26,302.68	Facility		$1,659.59	$11,748.98	$26,302.68