Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $15,848.93	Facility		$1,737.80	$2,238.72	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,089.30	Professional		$1,288.25	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,137.96	Facility		$870.96	$1,380.38	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $1,778.28	Facility		$1,348.96	$1,659.59	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,905.46	Facility		$870.96	$1,348.96	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $56,234.13	Facility		$2,884.03	$17,782.79	$56,234.13