Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $7,943.28	Facility		$2,754.23	$5,128.61	$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 $3,235.94 / $4,265.80 / $5,011.87	Professional		$3,235.94	$4,265.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $5,011.87	Facility		$2,041.74	$3,162.28	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $4,365.16	Facility		$3,162.28	$3,981.07	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $4,677.35	Facility		$2,041.74	$3,162.28	$4,677.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
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