Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $7,943.28	Facility		$3,801.89	$4,897.79	$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 $3,019.95 / $4,073.80 / $4,677.35	Professional		$3,019.95	$4,073.80	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,677.35	Facility		$1,905.46	$2,951.21	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $4,073.80	Facility		$3,090.30	$3,801.89	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,365.16	Facility		$1,905.46	$2,951.21	$4,365.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
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