Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,309.57 / $7,943.28	Facility		$3,311.31	$6,309.57	$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 $3,890.45 / $5,128.61 / $6,025.60	Professional		$3,890.45	$5,128.61	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $6,165.95	Facility		$2,454.71	$3,890.45	$6,165.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $5,248.07	Facility		$4,073.80	$4,897.79	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $5,623.41	Facility		$2,511.89	$3,890.45	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
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