Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $7,943.28	Facility		$1,318.26	$2,187.76	$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 $1,258.93 / $1,737.80 / $2,089.30	Professional		$1,258.93	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,089.30	Facility		$870.96	$1,230.27	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $1,778.28	Facility		$1,258.93	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,041.74	Facility		$831.76	$1,230.27	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
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