Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.57 / $2,840.93 / $13,320.00	Facility		$1,284.57	$2,840.93	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.36 / $1,309.97 / $1,571.60	Professional		$1,118.36	$1,309.97	$1,571.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.16 / $1,064.88 / $1,396.55	Facility		$775.16	$1,064.88	$1,396.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $801.85 / $1,104.27 / $1,182.55	Facility		$801.85	$1,104.27	$1,182.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $787.94 / $1,155.86 / $2,748.00	Facility		$787.94	$1,155.86	$2,748.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00