Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,845.55 / $10,180.24 / $42,921.00	Facility		$2,845.55	$10,180.24	$42,921.00
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 $2,271.33 / $2,982.46 / $3,646.24	Professional		$2,271.33	$2,982.46	$3,646.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.63 / $2,564.88 / $3,887.52	Facility		$1,566.63	$2,564.88	$3,887.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,021.33 / $2,748.34 / $2,906.46	Facility		$2,021.33	$2,748.34	$2,906.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $2,906.38 / $3,887.52	Facility		$1,664.70	$2,906.38	$3,887.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,421.12 / $7,421.12 / $7,421.12	Facility		$7,421.12	$7,421.12	$7,421.12
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