Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $7,943.28	Facility		$2,041.74	$3,801.89	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,630.78	Professional		$2,344.23	$3,162.28	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,715.35	Facility		$1,513.56	$2,344.23	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,162.28	Facility		$2,511.89	$3,019.95	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,467.37	Facility		$1,513.56	$2,344.23	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,549.93 / $19,054.61	Facility		$3,890.45	$9,549.93	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $25,703.96 / $52,480.75	Facility		$3,311.31	$25,703.96	$52,480.75