Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $13,803.84	Facility		$1,148.15	$1,905.46	$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 $1,023.29 / $1,412.54 / $1,995.26	Professional		$1,023.29	$1,412.54	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,862.09	Facility		$630.96	$1,096.48	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,584.89	Facility		$1,096.48	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,621.81	Facility		$616.60	$1,071.52	$1,621.81
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 $1,995.26 / $10,232.93 / $31,622.78	Facility		$1,995.26	$10,232.93	$31,622.78