Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $23,988.33	Facility		$2,884.03	$4,073.80	$23,988.33
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 $2,089.30 / $2,818.38 / $3,467.37	Professional		$2,089.30	$2,818.38	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,630.78	Facility		$1,445.44	$2,238.72	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $2,951.21	Facility		$2,238.72	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,235.94	Facility		$1,445.44	$2,238.72	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $51,286.14	Facility		$13,489.63	$19,952.62	$51,286.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13