Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $17,378.01	Facility		$1,258.93	$2,290.87	$17,378.01
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 $1,288.25 / $1,737.80 / $2,290.87	Professional		$1,288.25	$1,737.80	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,089.30	Facility		$724.44	$1,258.93	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,819.70	Facility		$1,202.26	$1,659.59	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,905.46	Facility		$724.44	$1,230.27	$1,905.46
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