Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.07 / $3,371.94 / $7,920.26	Facility		$2,754.07	$3,371.94	$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 $2,183.71 / $2,867.41 / $3,518.43	Professional		$2,183.71	$2,867.41	$3,518.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,461.35 / $2,650.29 / $3,978.23	Facility		$1,461.35	$2,650.29	$3,978.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,990.33 / $2,660.16 / $2,793.90	Facility		$1,990.33	$2,660.16	$2,793.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,571.27 / $2,910.29 / $3,978.23	Facility		$1,571.27	$2,910.29	$3,978.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,321.74 / $7,321.74 / $7,321.74	Facility		$7,321.74	$7,321.74	$7,321.74
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