Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,943.28 / $24,547.09	Facility		$2,290.87	$7,943.28	$24,547.09
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 $1,698.24 / $2,238.72 / $2,754.23	Professional		$1,698.24	$2,238.72	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $3,981.07	Facility		$1,148.15	$1,862.09	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,344.23	Facility		$1,862.09	$2,238.72	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,511.89	Facility		$1,148.15	$1,778.28	$2,511.89
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $50,118.72 / $67,608.30 / $81,283.05	Facility	50	$50,118.72	$67,608.30	$81,283.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13