Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $9,332.54 / $28,183.83	Facility		$1,949.84	$9,332.54	$28,183.83
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 $1,513.56 / $1,995.26 / $2,398.83	Professional		$1,513.56	$1,995.26	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,019.95	Facility		$977.24	$1,621.81	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,995.26	Facility		$1,513.56	$1,862.09	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,187.76	Facility		$1,000.00	$1,513.56	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
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