Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $13,182.57	Facility		$1,348.96	$1,778.28	$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 $1,023.29 / $1,380.38 / $1,659.59	Professional		$1,023.29	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,659.59	Facility		$676.08	$1,047.13	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,380.38	Facility		$1,023.29	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,479.11	Facility		$691.83	$1,023.29	$1,479.11
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 $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78