Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $15,848.93	Facility		$2,187.76	$2,818.38	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,630.27	Professional		$1,621.81	$2,187.76	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,691.53	Facility		$1,096.48	$1,737.80	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,238.72	Facility		$1,819.70	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,398.83	Facility		$1,096.48	$1,698.24	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $33,113.11 / $52,480.75	Facility		$13,489.63	$33,113.11	$52,480.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78