Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.94 / $2,036.81 / $16,061.90	Facility		$447.94	$2,036.81	$16,061.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,531.39 / $1,793.75 / $2,151.98	Professional		$1,531.39	$1,793.75	$2,151.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.28 / $1,491.72 / $2,014.50	Facility		$1,153.28	$1,491.72	$2,014.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,147.30 / $1,586.56 / $1,670.31	Facility		$1,147.30	$1,586.56	$1,670.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,169.25 / $1,665.45 / $5,217.00	Facility		$1,169.25	$1,665.45	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00