Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $17,378.01	Facility		$1,621.81	$9,549.93	$17,378.01
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 $1,023.29 / $1,348.96 / $1,621.81	Professional		$1,023.29	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $10,715.19	Facility		$676.08	$1,174.90	$10,715.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,348.96	Facility		$1,071.52	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,548.82	Facility		$676.08	$1,071.52	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
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