Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,365.06 / $7,920.26	Facility		$2,747.00	$4,365.06	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,284.50 / $3,865.56 / $4,615.56	Professional		$3,284.50	$3,865.56	$4,615.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,257.25 / $3,222.99 / $4,419.14	Facility		$2,257.25	$3,222.99	$4,419.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,596.44 / $3,478.75 / $3,681.65	Facility		$2,596.44	$3,478.75	$3,681.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,257.25 / $3,255.19 / $4,691.22	Facility		$2,257.25	$3,255.19	$4,691.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,546.98 / $9,546.98 / $9,546.98	Facility		$9,546.98	$9,546.98	$9,546.98
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