Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $13,803.84	Facility		$1,230.27	$1,584.89	$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 $933.25 / $1,258.93 / $1,479.11	Professional		$933.25	$1,258.93	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,548.82	Facility		$602.56	$977.24	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,258.93	Facility		$1,000.00	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,380.38	Facility		$616.60	$977.24	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$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