Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $28,840.32	Facility		$1,479.11	$1,949.84	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,819.70	Professional		$1,122.02	$1,513.56	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,819.70	Facility		$741.31	$1,174.90	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,513.56	Facility		$1,174.90	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,659.59	Facility		$758.58	$1,174.90	$1,659.59
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