Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $15,848.93	Facility		$1,445.44	$1,905.46	$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 $1,071.52 / $1,445.44 / $1,737.80	Professional		$1,071.52	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,819.70	Facility		$724.44	$1,122.02	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,479.11	Facility		$1,174.90	$1,380.38	$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 $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