Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $20,892.96	Facility		$2,187.76	$6,918.31	$20,892.96
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 $1,548.82 / $2,089.30 / $2,570.40	Professional		$1,548.82	$2,089.30	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $3,090.30	Facility		$1,071.52	$1,698.24	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,187.76	Facility		$1,698.24	$2,137.96	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,398.83	Facility		$1,096.48	$1,659.59	$2,398.83
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