Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $13,182.57	Facility		$1,348.96	$1,737.80	$13,182.57
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 $1,000.00 / $1,318.26 / $1,621.81	Professional		$1,000.00	$1,318.26	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,698.24	Facility		$660.69	$1,122.02	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,348.96	Facility		$1,122.02	$1,318.26	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,584.89	Facility		$676.08	$1,096.48	$1,584.89
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 $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78