Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $15,848.93	Facility		$1,513.56	$1,995.26	$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 / $1,584.89 / $1,905.46	Professional		$1,230.27	$1,584.89	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,862.09	Facility		$758.58	$1,122.02	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,513.56	Facility		$1,047.13	$1,348.96	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,659.59	Facility		$758.58	$1,096.48	$1,659.59
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 $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78