Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $16,595.87	Facility		$2,041.74	$3,090.30	$16,595.87
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 $1,548.82 / $2,041.74 / $2,511.89	Professional		$1,548.82	$2,041.74	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $3,090.30	Facility		$1,023.29	$1,698.24	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,089.30	Facility		$1,698.24	$1,995.26	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,454.71	Facility		$1,023.29	$1,621.81	$2,454.71
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