Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $18,620.87	Facility		$2,041.74	$7,943.28	$18,620.87
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 $1,513.56 / $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 $1,000.00 / $1,621.81 / $3,090.30	Facility		$1,000.00	$1,621.81	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,041.74	Facility		$1,659.59	$1,995.26	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,238.72	Facility		$1,023.29	$1,584.89	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13