Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $13,803.84	Facility		$1,047.13	$1,995.26	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
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 $724.44 / $1,174.90 / $2,187.76	Facility		$724.44	$1,174.90	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,513.56	Facility		$1,148.15	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,659.59	Facility		$758.58	$1,148.15	$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 $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78