Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,689.77 / $38,899.12	Facility		$2,747.00	$3,689.77	$38,899.12
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 $2,800.06 / $3,287.09 / $3,934.79	Professional		$2,800.06	$3,287.09	$3,934.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,900.37 / $2,713.04 / $3,688.15	Facility		$1,900.37	$2,713.04	$3,688.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,149.12 / $2,949.34 / $3,133.59	Facility		$2,149.12	$2,949.34	$3,133.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,900.37 / $2,737.30 / $3,954.98	Facility		$1,900.37	$2,737.30	$3,954.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,985.38 / $7,985.38 / $7,985.38	Facility		$7,985.38	$7,985.38	$7,985.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00