Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $28,840.32	Facility		$2,089.30	$3,467.37	$28,840.32
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 $1,949.84 / $2,630.27 / $3,162.28	Professional		$1,949.84	$2,630.27	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $3,388.44	Facility		$1,318.26	$2,089.30	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,691.53	Facility		$2,041.74	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,884.03	Facility		$1,318.26	$1,995.26	$2,884.03
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,232.93 / $25,118.86 / $40,738.03	Facility	50	$10,232.93	$25,118.86	$40,738.03
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