Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,413.10 / $14,791.08	Facility		$1,584.89	$7,413.10	$14,791.08
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 $1,230.27 / $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 $812.83 / $1,479.11 / $3,019.95	Facility		$812.83	$1,479.11	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,737.80	Facility		$1,288.25	$1,584.89	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,445.44 / $2,238.72	Facility		$812.83	$1,445.44	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68