Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.73 / $2,747.00 / $7,920.26	Facility		$1,743.73	$2,747.00	$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 $1,392.71 / $1,828.76 / $2,252.85	Professional		$1,392.71	$1,828.76	$2,252.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.14 / $1,569.84 / $2,389.90	Facility		$945.14	$1,569.84	$2,389.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,149.54 / $1,658.46 / $1,766.12	Facility		$1,149.54	$1,658.46	$1,766.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.92 / $1,745.73 / $2,389.90	Facility		$958.92	$1,745.73	$2,389.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,498.45 / $4,498.45 / $4,498.45	Facility		$4,498.45	$4,498.45	$4,498.45
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