Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $15,848.93	Facility		$1,778.28	$2,344.23	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,187.76	Professional		$1,348.96	$1,778.28	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,137.96	Facility		$891.25	$1,412.54	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,819.70	Facility		$1,288.25	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,949.84	Facility		$891.25	$1,380.38	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78