Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $9,120.11 / $23,988.33	Facility		$3,311.31	$9,120.11	$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 $2,511.89 / $3,388.44 / $3,981.07	Professional		$2,511.89	$3,388.44	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $21,379.62	Facility		$1,659.59	$3,019.95	$21,379.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,467.37	Facility		$2,818.38	$3,235.94	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $3,981.07	Facility		$1,621.81	$2,630.27	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
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