Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $13,803.84	Facility		$1,479.11	$1,905.46	$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 $1,122.02 / $1,479.11 / $1,778.28	Professional		$1,122.02	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,862.09	Facility		$724.44	$1,148.15	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Facility		$1,202.26	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,584.89	Facility		$741.31	$1,122.02	$1,584.89
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