Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $20,892.96	Facility		$1,737.80	$2,290.87	$20,892.96
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 $1,288.25 / $1,698.24 / $2,089.30	Professional		$1,288.25	$1,698.24	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,187.76	Facility		$851.14	$1,348.96	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,778.28	Facility		$1,380.38	$1,659.59	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,862.09	Facility		$870.96	$1,348.96	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13