Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,207.67 / $2,747.00 / $7,920.26	Facility		$2,207.67	$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 $1,744.80 / $2,291.08 / $2,812.82	Professional		$1,744.80	$2,291.08	$2,812.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,181.72 / $1,966.64 / $2,776.09	Facility		$1,181.72	$1,966.64	$2,776.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,360.57 / $1,943.67 / $2,247.17	Facility		$1,360.57	$1,943.67	$2,247.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,236.25 / $2,153.57 / $2,866.05	Facility		$1,236.25	$2,153.57	$2,866.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,130.16 / $5,130.16 / $5,130.16	Facility		$5,130.16	$5,130.16	$5,130.16
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