Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $13,182.57	Facility		$2,570.40	$3,388.44	$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 $2,089.30 / $2,754.23 / $3,235.94	Professional		$2,089.30	$2,754.23	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $3,019.95	Facility		$1,230.27	$1,905.46	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,630.27	Facility		$1,584.89	$2,187.76	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $2,754.23	Facility		$1,202.26	$1,862.09	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68