Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $13,182.57	Facility		$1,584.89	$2,089.30	$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 $1,202.26 / $1,584.89 / $1,949.84	Professional		$1,202.26	$1,584.89	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,137.96	Facility		$794.33	$1,318.26	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,621.81	Facility		$1,288.25	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $1,949.84	Facility		$812.83	$1,318.26	$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