Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $15,848.93	Facility		$1,905.46	$2,511.89	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,344.23	Professional		$1,513.56	$2,041.74	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,884.03	Facility		$933.25	$1,479.11	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,995.26	Facility		$1,513.56	$1,862.09	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,137.96	Facility		$977.24	$1,479.11	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78