Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,270.05 / $7,920.26	Facility		$2,747.00	$4,270.05	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,181.61 / $3,746.01 / $4,470.97	Professional		$3,181.61	$3,746.01	$4,470.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,317.17 / $3,147.78 / $4,261.05	Facility		$2,317.17	$3,147.78	$4,261.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,507.29 / $3,371.15 / $3,611.97	Facility		$2,507.29	$3,371.15	$3,611.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,317.17 / $3,174.54 / $4,605.42	Facility		$2,317.17	$3,174.54	$4,605.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00