Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,128.61 / $13,489.63	Facility		$2,290.87	$5,128.61	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,754.23	Professional		$1,698.24	$2,238.72	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,951.21	Facility		$1,047.13	$1,737.80	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,290.87	Facility		$1,659.59	$2,238.72	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,511.89	Facility		$1,047.13	$1,659.59	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $56,234.13	Facility		$2,137.96	$13,182.57	$56,234.13