Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $13,803.84	Facility		$1,548.82	$2,041.74	$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 $1,230.27 / $1,621.81 / $1,905.46	Professional		$1,230.27	$1,621.81	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,819.70	Facility		$776.25	$1,202.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,548.82	Facility		$1,047.13	$1,380.38	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,698.24	Facility		$776.25	$1,202.26	$1,698.24
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