Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,943.28 / $19,054.61	Facility		$2,454.71	$7,943.28	$19,054.61
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 $1,819.70 / $2,398.83 / $2,951.21	Professional		$1,819.70	$2,398.83	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,162.28	Facility		$1,202.26	$1,995.26	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,454.71	Facility		$1,862.09	$2,398.83	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $2,951.21	Facility		$1,230.27	$1,995.26	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,232.93 / $25,118.86 / $40,738.03	Facility	50	$10,232.93	$25,118.86	$40,738.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78