Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,943.28 / $8,128.31	Facility		$4,897.79	$7,943.28	$8,128.31
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 $4,466.84 / $6,165.95 / $7,585.78	Professional		$4,466.84	$6,165.95	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $7,762.47	Facility		$3,235.94	$4,570.88	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,309.57 / $6,606.93	Facility		$4,677.35	$6,309.57	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $7,585.78	Facility		$3,019.95	$4,570.88	$7,585.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78