Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,943.28 / $15,848.93	Facility		$3,235.94	$7,943.28	$15,848.93
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 $2,290.87 / $3,090.30 / $3,801.89	Professional		$2,290.87	$3,090.30	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $5,128.61	Facility		$1,513.56	$2,344.23	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,235.94	Facility		$2,630.27	$3,090.30	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,548.13	Facility		$1,513.56	$2,290.87	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $56,234.13	Facility		$2,884.03	$17,782.79	$56,234.13