Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $15,848.93	Facility		$2,818.38	$3,630.78	$15,848.93
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 $1,995.26 / $2,754.23 / $3,388.44	Professional		$1,995.26	$2,754.23	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,467.37	Facility		$1,412.54	$2,041.74	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $2,884.03	Facility		$2,344.23	$2,754.23	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,311.31	Facility		$1,348.96	$1,995.26	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
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