Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $13,803.84	Facility		$1,513.56	$1,995.26	$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 $1,148.15 / $1,513.56 / $1,862.09	Professional		$1,148.15	$1,513.56	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,995.26	Facility		$758.58	$1,230.27	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,548.82	Facility		$1,148.15	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,862.09	Facility		$776.25	$1,230.27	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50