Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $10,715.19 / $18,620.87	Facility		$1,737.80	$10,715.19	$18,620.87
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 $1,348.96 / $1,778.28 / $2,137.96	Professional		$1,348.96	$1,778.28	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $3,090.30	Facility		$870.96	$1,412.54	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,778.28	Facility		$1,380.38	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,905.46	Facility		$891.25	$1,348.96	$1,905.46
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