Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $2,818.38 / $13,803.84	Facility		$104.71	$2,818.38	$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 $1,584.89 / $2,137.96 / $2,570.40	Professional		$1,584.89	$2,137.96	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,691.53	Facility		$1,071.52	$1,698.24	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Facility		$1,778.28	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,398.83	Facility		$1,096.48	$1,659.59	$2,398.83
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