Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $15,848.93	Facility		$1,905.46	$2,454.71	$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 $1,412.54 / $1,862.09 / $2,290.87	Professional		$1,412.54	$1,862.09	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,398.83	Facility		$954.99	$1,513.56	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Facility		$1,548.82	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,137.96	Facility		$954.99	$1,513.56	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $18,197.01 / $26,915.35	Facility		$6,918.31	$18,197.01	$26,915.35
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