Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $10,715.19 / $25,703.96	Facility		$1,949.84	$10,715.19	$25,703.96
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 $1,445.44 / $1,905.46 / $2,344.23	Professional		$1,445.44	$1,905.46	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,951.21	Facility		$912.01	$1,479.11	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $1,995.26	Facility		$1,380.38	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,089.30	Facility		$912.01	$1,412.54	$2,089.30
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