Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,623.41 / $7,943.28	Facility		$2,951.21	$5,623.41	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,570.88 / $5,370.32	Professional		$3,388.44	$4,570.88	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $5,370.32	Facility		$2,187.76	$3,467.37	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,677.35	Facility		$3,715.35	$4,365.16	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $4,897.79	Facility		$2,187.76	$3,388.44	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52