Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,431.02 / $5,116.62 / $7,920.26	Facility		$4,431.02	$5,116.62	$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 $3,516.15 / $4,617.02 / $5,641.18	Professional		$3,516.15	$4,617.02	$5,641.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,210.00 / $3,963.65 / $6,136.73	Facility		$2,210.00	$3,963.65	$6,136.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $4,283.30 / $4,516.47	Facility		$2,919.60	$4,283.30	$4,516.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,274.69 / $4,495.03 / $6,136.73	Facility		$2,274.69	$4,495.03	$6,136.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,630.27 / $11,630.27 / $11,630.27	Facility		$11,630.27	$11,630.27	$11,630.27
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