Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,943.28 / $13,803.84	Facility		$1,548.82	$7,943.28	$13,803.84
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 $1,258.93 / $1,621.81 / $1,905.46	Professional		$1,258.93	$1,621.81	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,737.80	Facility		$794.33	$1,230.27	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,584.89	Facility		$1,047.13	$1,412.54	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,737.80	Facility		$776.25	$1,202.26	$1,737.80
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 $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78