Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $13,182.57	Facility		$2,089.30	$2,691.53	$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 $1,548.82 / $2,089.30 / $2,511.89	Professional		$1,548.82	$2,089.30	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,691.53	Facility		$1,023.29	$1,621.81	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,137.96	Facility		$1,621.81	$2,041.74	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,290.87	Facility		$1,047.13	$1,584.89	$2,290.87
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