Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $15,848.93	Facility		$1,737.80	$7,943.28	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,089.30	Professional		$1,318.26	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,238.72	Facility		$870.96	$1,380.38	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,778.28	Facility		$1,445.44	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,949.84	Facility		$891.25	$1,380.38	$1,949.84
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