Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $13,803.84	Facility		$1,621.81	$2,089.30	$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 $1,230.27 / $1,659.59 / $1,949.84	Professional		$1,230.27	$1,659.59	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,949.84	Facility		$794.33	$1,230.27	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,659.59	Facility		$1,148.15	$1,548.82	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,778.28	Facility		$812.83	$1,230.27	$1,778.28
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
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