Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,075.93 / $7,920.26	Facility		$2,747.00	$5,075.93	$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 $3,798.10 / $4,468.06 / $5,337.29	Professional		$3,798.10	$4,468.06	$5,337.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,734.86 / $3,720.62 / $5,072.80	Facility		$2,734.86	$3,720.62	$5,072.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,994.69 / $4,020.96 / $4,326.18	Facility		$2,994.69	$4,020.96	$4,326.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,734.86 / $3,746.76 / $5,491.84	Facility		$2,734.86	$3,746.76	$5,491.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,012.73 / $11,012.73 / $11,012.73	Facility		$11,012.73	$11,012.73	$11,012.73
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