Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $23,988.33	Facility		$2,570.40	$3,311.31	$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 / $3,090.30	Professional		$1,949.84	$2,570.40	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $3,311.31	Facility		$1,258.93	$2,041.74	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,630.27	Facility		$1,949.84	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,884.03	Facility		$1,288.25	$2,041.74	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $42,657.95 / $67,608.30	Facility		$17,378.01	$42,657.95	$67,608.30
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