Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,508.96 / $7,920.26	Facility		$2,747.00	$4,508.96	$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 $3,402.13 / $4,003.01 / $4,780.85	Professional		$3,402.13	$4,003.01	$4,780.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,418.56 / $3,333.74 / $4,568.39	Facility		$2,418.56	$3,333.74	$4,568.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,674.44 / $3,602.45 / $3,812.97	Facility		$2,674.44	$3,602.45	$3,812.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,418.56 / $3,334.77 / $4,829.39	Facility		$2,418.56	$3,334.77	$4,829.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,814.95 / $9,814.95 / $9,814.95	Facility		$9,814.95	$9,814.95	$9,814.95
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