Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $13,803.84	Facility		$1,318.26	$1,737.80	$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 $1,023.29 / $1,348.96 / $1,621.81	Professional		$1,023.29	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,621.81	Facility		$660.69	$1,023.29	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,348.96	Facility		$1,071.52	$1,288.25	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,445.44	Facility		$660.69	$1,047.13	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,118.86 / $33,884.42 / $42,657.95	Facility	50	$25,118.86	$33,884.42	$42,657.95
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