Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,981.16 / $2,747.00 / $7,920.26	Facility		$1,981.16	$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 $1,585.92 / $2,082.46 / $2,552.05	Professional		$1,585.92	$2,082.46	$2,552.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.27 / $1,787.46 / $2,740.70	Facility		$1,070.27	$1,787.46	$2,740.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,317.84 / $1,908.83 / $2,017.37	Facility		$1,317.84	$1,908.83	$2,017.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,123.78 / $2,017.15 / $2,740.70	Facility		$1,123.78	$2,017.15	$2,740.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,142.60 / $5,142.60 / $5,142.60	Facility		$5,142.60	$5,142.60	$5,142.60
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