Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $13,803.84	Facility		$1,621.81	$2,089.30	$13,803.84
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 $1,258.93 / $1,698.24 / $1,949.84	Professional		$1,258.93	$1,698.24	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,041.74	Facility		$812.83	$1,288.25	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,659.59	Facility		$1,318.26	$1,584.89	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,778.28	Facility		$831.76	$1,258.93	$1,778.28
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 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78