Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $13,803.84	Facility		$1,122.02	$1,737.80	$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 / $1,380.38 / $1,905.46	Professional		$1,023.29	$1,380.38	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $1,737.80	Facility		$602.56	$1,071.52	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,548.82	Facility		$1,096.48	$1,513.56	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,621.81	Facility		$588.84	$1,047.13	$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 $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78