Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $13,803.84	Facility		$1,318.26	$1,737.80	$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 $1,023.29 / $1,348.96 / $1,621.81	Professional		$1,023.29	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,621.81	Facility		$660.69	$1,023.29	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,348.96	Facility		$1,071.52	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,445.44	Facility		$676.08	$1,047.13	$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