Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.37 / $2,747.00 / $7,920.26	Facility		$1,615.37	$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 $1,313.48 / $1,724.72 / $2,125.73	Professional		$1,313.48	$1,724.72	$2,125.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $877.93 / $1,480.56 / $2,228.84	Facility		$877.93	$1,480.56	$2,228.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,134.51 / $1,554.40 / $1,664.95	Facility		$1,134.51	$1,554.40	$1,664.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,645.16 / $2,228.84	Facility		$912.00	$1,645.16	$2,228.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,182.59 / $4,182.59 / $4,182.59	Facility		$4,182.59	$4,182.59	$4,182.59
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