Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $23,988.33	Facility		$2,630.27	$3,467.37	$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 $2,041.74 / $2,691.53 / $3,235.94	Professional		$2,041.74	$2,691.53	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,235.94	Facility		$1,258.93	$1,862.09	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $2,754.23	Facility		$1,737.80	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,818.38	Facility		$1,230.27	$1,862.09	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $42,657.95 / $67,608.30	Facility		$17,378.01	$42,657.95	$67,608.30
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $26,302.68 / $63,095.73 / $102,329.30	Facility	50	$26,302.68	$63,095.73	$102,329.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $75,857.76	Facility		$3,311.31	$26,302.68	$75,857.76