Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,943.28 / $13,803.84	Facility		$1,659.59	$7,943.28	$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 $1,258.93 / $1,659.59 / $1,995.26	Professional		$1,258.93	$1,659.59	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,089.30	Facility		$831.76	$1,318.26	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,698.24	Facility		$1,348.96	$1,584.89	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,819.70	Facility		$831.76	$1,288.25	$1,819.70
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 $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78