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 / $15,848.93	Facility		$1,584.89	$2,089.30	$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 $1,230.27 / $1,621.81 / $1,949.84	Professional		$1,230.27	$1,621.81	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,949.84	Facility		$776.25	$1,230.27	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,621.81	Facility		$1,230.27	$1,479.11	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,698.24	Facility		$812.83	$1,174.90	$1,698.24
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