Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $7,943.28	Facility		$3,630.78	$6,025.60	$7,943.28
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 $3,388.44 / $4,677.35 / $5,754.40	Professional		$3,388.44	$4,677.35	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $5,888.44	Facility		$2,290.87	$3,311.31	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $5,011.87	Facility		$3,467.37	$4,677.35	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $5,623.41	Facility		$2,187.76	$3,311.31	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
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