Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,370.32 / $17,378.01	Facility		$1,174.90	$5,370.32	$17,378.01
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 $1,230.27 / $1,659.59 / $1,995.26	Professional		$1,230.27	$1,659.59	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $2,884.03	Facility		$812.83	$1,348.96	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,659.59	Facility		$1,318.26	$1,584.89	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,949.84	Facility		$831.76	$1,288.25	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
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