Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $23,988.33	Facility		$3,162.28	$4,168.69	$23,988.33
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 $2,570.40 / $3,388.44 / $3,981.07	Professional		$2,570.40	$3,388.44	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,981.07	Facility		$1,584.89	$2,511.89	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $3,388.44	Facility		$2,398.83	$3,162.28	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $3,548.13	Facility		$1,621.81	$2,511.89	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $33,113.11 / $52,480.75	Facility		$13,489.63	$33,113.11	$52,480.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13