Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $13,803.84	Facility		$1,288.25	$1,698.24	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,548.82	Professional		$977.24	$1,318.26	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,584.89	Facility		$630.96	$1,000.00	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,318.26	Facility		$1,047.13	$1,230.27	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,445.44	Facility		$645.65	$1,023.29	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78