Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $23,988.33	Facility		$2,951.21	$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 $2,398.83 / $3,162.28 / $3,630.78	Professional		$2,398.83	$3,162.28	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,715.35	Facility		$1,479.11	$2,290.87	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,090.30	Facility		$2,454.71	$2,884.03	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,311.31	Facility		$1,479.11	$2,290.87	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $25,118.86 / $66,069.34	Facility		$15,848.93	$25,118.86	$66,069.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13