Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,943.28 / $16,218.10	Facility		$1,288.25	$7,943.28	$16,218.10
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 $1,023.29 / $1,380.38 / $1,659.59	Professional		$1,023.29	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,862.09	Facility		$676.08	$1,096.48	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,380.38	Facility		$1,122.02	$1,318.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,479.11	Facility		$691.83	$1,047.13	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13