Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $23,988.33	Facility		$2,454.71	$3,162.28	$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 $1,949.84 / $2,570.40 / $2,951.21	Professional		$1,949.84	$2,570.40	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,548.13	Facility		$1,258.93	$2,089.30	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,570.40	Facility		$2,089.30	$2,454.71	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,818.38	Facility		$1,258.93	$1,995.26	$2,818.38
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