Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $15,135.61	Facility		$1,513.56	$2,137.96	$15,135.61
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 $1,148.15 / $1,513.56 / $1,819.70	Professional		$1,148.15	$1,513.56	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $2,041.74	Facility		$758.58	$1,202.26	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,548.82	Facility		$1,230.27	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,659.59	Facility		$758.58	$1,174.90	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
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