Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.92 / $2,930.00 / $7,920.26	Facility		$2,394.92	$2,930.00	$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 $1,910.99 / $2,509.31 / $3,079.35	Professional		$1,910.99	$2,509.31	$3,079.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.32 / $2,154.21 / $3,265.52	Facility		$1,285.32	$2,154.21	$3,265.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,592.35 / $2,296.09 / $2,440.14	Facility		$1,592.35	$2,296.09	$2,440.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,316.24 / $2,410.46 / $3,265.52	Facility		$1,316.24	$2,410.46	$3,265.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,194.90 / $6,194.90 / $6,194.90	Facility		$6,194.90	$6,194.90	$6,194.90
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