Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,570.88 / $19,054.61	Facility		$1,479.11	$4,570.88	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,778.28	Professional		$1,071.52	$1,412.54	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,137.96	Facility		$741.31	$1,202.26	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Facility		$1,230.27	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $1,737.80	Facility		$741.31	$1,202.26	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96