Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $13,803.84	Facility		$1,479.11	$1,905.46	$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 $1,096.48 / $1,445.44 / $1,778.28	Professional		$1,096.48	$1,445.44	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,862.09	Facility		$741.31	$1,174.90	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Facility		$1,202.26	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,621.81	Facility		$741.31	$1,148.15	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
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