Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $11,220.18 / $25,118.86	Facility		$1,412.54	$11,220.18	$25,118.86
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 $1,096.48 / $1,479.11 / $1,737.80	Professional		$1,096.48	$1,479.11	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $17,378.01	Facility		$724.44	$1,230.27	$17,378.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,479.11	Facility		$1,023.29	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,548.82	Facility		$707.95	$1,071.52	$1,548.82
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