Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $15,848.93	Facility		$2,454.71	$3,162.28	$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 $1,778.28 / $2,344.23 / $2,951.21	Professional		$1,778.28	$2,344.23	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,090.30	Facility		$1,230.27	$1,949.84	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,511.89	Facility		$1,905.46	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $2,884.03	Facility		$1,230.27	$1,949.84	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,000.00 / $26,302.68	Facility		$6,918.31	$10,000.00	$26,302.68
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