Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $15,848.93	Facility		$1,445.44	$1,905.46	$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 $1,174.90 / $1,513.56 / $1,778.28	Professional		$1,174.90	$1,513.56	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,698.24	Facility		$724.44	$1,148.15	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,479.11	Facility		$954.99	$1,318.26	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,621.81	Facility		$724.44	$1,148.15	$1,621.81
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