Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $7,943.28	Facility		$1,258.93	$2,089.30	$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 $1,230.27 / $1,659.59 / $1,995.26	Professional		$1,230.27	$1,659.59	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,995.26	Facility		$831.76	$1,174.90	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,698.24	Facility		$1,174.90	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,949.84	Facility		$794.33	$1,174.90	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,754.40 / $12,022.64	Facility		$1,621.81	$5,754.40	$12,022.64