Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,668.03 / $7,920.26	Facility		$2,747.00	$4,668.03	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,471.25 / $4,092.59 / $4,877.99	Professional		$3,471.25	$4,092.59	$4,877.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,513.21 / $3,408.14 / $4,603.60	Facility		$2,513.21	$3,408.14	$4,603.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,703.51 / $3,650.83 / $3,939.60	Facility		$2,703.51	$3,650.83	$3,939.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,513.21 / $3,443.10 / $4,960.68	Facility		$2,513.21	$3,443.10	$4,960.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,889.45 / $9,889.45 / $9,889.45	Facility		$9,889.45	$9,889.45	$9,889.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00