Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $13,803.84	Facility		$1,862.09	$2,398.83	$13,803.84
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 $1,412.54 / $1,862.09 / $2,238.72	Professional		$1,412.54	$1,862.09	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,290.87	Facility		$933.25	$1,445.44	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,905.46	Facility		$1,513.56	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,089.30	Facility		$933.25	$1,445.44	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $12,302.69	Facility		$3,090.30	$7,585.78	$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