Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $13,803.84	Facility		$1,445.44	$1,905.46	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,778.28	Professional		$1,122.02	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,778.28	Facility		$724.44	$1,148.15	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Facility		$1,202.26	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,621.81	Facility		$741.31	$1,122.02	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,481.54 / $15,135.61 / $18,620.87	Facility	50	$11,481.54	$15,135.61	$18,620.87
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