Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.13 / $2,747.00 / $7,920.26	Facility		$2,095.13	$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 $1,665.24 / $2,186.62 / $2,675.76	Professional		$1,665.24	$2,186.62	$2,675.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.33 / $1,877.36 / $2,908.24	Facility		$1,139.33	$1,877.36	$2,908.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,444.38 / $2,028.58 / $2,099.11	Facility		$1,444.38	$2,028.58	$2,099.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,214.95 / $2,128.00 / $2,908.24	Facility		$1,214.95	$2,128.00	$2,908.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,438.93 / $5,438.93 / $5,438.93	Facility		$5,438.93	$5,438.93	$5,438.93
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