Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $13,182.57	Facility		$1,862.09	$2,398.83	$13,182.57
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 $1,412.54 / $1,862.09 / $2,238.72	Professional		$1,412.54	$1,862.09	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,290.87	Facility		$891.25	$1,380.38	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,862.09	Facility		$1,318.26	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,995.26	Facility		$912.01	$1,380.38	$1,995.26
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 $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13