Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $13,182.57	Facility		$1,621.81	$1,949.84	$13,182.57
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 $1,148.15 / $1,513.56 / $1,819.70	Professional		$1,148.15	$1,513.56	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,995.26	Facility		$758.58	$1,230.27	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,584.89	Facility		$1,174.90	$1,479.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,862.09	Facility		$776.25	$1,230.27	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
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