Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,827.37 / $3,491.13 / $7,920.26	Facility		$2,827.37	$3,491.13	$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 $2,234.04 / $2,933.50 / $3,592.89	Professional		$2,234.04	$2,933.50	$3,592.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,483.89 / $2,518.38 / $3,956.01	Facility		$1,483.89	$2,518.38	$3,956.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,953.32 / $2,721.47 / $2,913.83	Facility		$1,953.32	$2,721.47	$2,913.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,541.44 / $2,880.65 / $3,956.01	Facility		$1,541.44	$2,880.65	$3,956.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,460.12 / $7,460.12 / $7,460.12	Facility		$7,460.12	$7,460.12	$7,460.12
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