Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $13,803.84	Facility		$1,778.28	$2,344.23	$13,803.84
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 $1,348.96 / $1,778.28 / $2,187.76	Professional		$1,348.96	$1,778.28	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,238.72	Facility		$851.14	$1,380.38	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,819.70	Facility		$1,348.96	$1,737.80	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $1,949.84	Facility		$870.96	$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