Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $19,054.61	Facility		$1,995.26	$2,511.89	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,344.23	Professional		$1,412.54	$1,905.46	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,570.40	Facility		$977.24	$1,584.89	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,995.26	Facility		$1,621.81	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,290.87	Facility		$977.24	$1,584.89	$2,290.87
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 $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78