Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $18,620.87	Facility		$1,445.44	$6,025.60	$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 $1,096.48 / $1,479.11 / $1,737.80	Professional		$1,096.48	$1,479.11	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,238.72	Facility		$724.44	$1,258.93	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Facility		$1,202.26	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,778.28	Facility		$724.44	$1,202.26	$1,778.28
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