Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $15,848.93	Facility		$2,041.74	$2,570.40	$15,848.93
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 $1,513.56 / $1,995.26 / $2,398.83	Professional		$1,513.56	$1,995.26	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,454.71	Facility		$1,000.00	$1,584.89	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,041.74	Facility		$1,548.82	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,238.72	Facility		$1,023.29	$1,584.89	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78