Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.53 / $2,747.00 / $7,920.26	Facility		$2,165.53	$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 $1,741.27 / $2,286.44 / $2,798.85	Professional		$1,741.27	$2,286.44	$2,798.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.51 / $1,962.89 / $3,003.57	Facility		$1,163.51	$1,962.89	$3,003.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.40 / $2,103.80 / $2,198.27	Facility		$1,445.40	$2,103.80	$2,198.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $2,216.80 / $3,003.57	Facility		$1,224.00	$2,216.80	$3,003.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,658.99 / $5,658.99 / $5,658.99	Facility		$5,658.99	$5,658.99	$5,658.99
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