Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $23,988.33	Facility		$2,884.03	$3,801.89	$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 $2,344.23 / $3,090.30 / $3,630.78	Professional		$2,344.23	$3,090.30	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,630.78	Facility		$1,479.11	$2,290.87	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,090.30	Facility		$2,290.87	$2,884.03	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,235.94	Facility		$1,479.11	$2,290.87	$3,235.94
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