Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,992.33 / $8,369.76 / $30,593.00	Facility		$2,992.33	$8,369.76	$30,593.00
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 $2,385.92 / $3,132.95 / $3,827.57	Professional		$2,385.92	$3,132.95	$3,827.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,651.32 / $2,861.53 / $4,200.37	Facility		$1,651.32	$2,861.53	$4,200.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,134.71 / $2,906.51 / $3,025.05	Facility		$2,134.71	$2,906.51	$3,025.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,665.46 / $3,108.00 / $4,200.37	Facility		$1,665.46	$3,108.00	$4,200.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.52 / $7,811.52 / $7,811.52	Facility		$7,811.52	$7,811.52	$7,811.52
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