Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $7,943.28	Facility		$1,659.59	$2,691.53	$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 $1,548.82 / $2,137.96 / $2,570.40	Professional		$1,548.82	$2,137.96	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,511.89	Facility		$1,096.48	$1,513.56	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,238.72	Facility		$1,479.11	$1,995.26	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,454.71	Facility		$1,023.29	$1,479.11	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
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