Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,128.61 / $13,803.84	Facility		$1,318.26	$5,128.61	$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 $1,000.00 / $1,318.26 / $1,584.89	Professional		$1,000.00	$1,318.26	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,995.26	Facility		$645.65	$1,047.13	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,318.26	Facility		$1,023.29	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,445.44	Facility		$660.69	$1,023.29	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
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