Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $12,882.50	Facility		$1,698.24	$5,623.41	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,187.76	Professional		$1,348.96	$1,819.70	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $8,912.51	Facility		$912.01	$1,737.80	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,862.09	Facility		$1,479.11	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,187.76	Facility		$912.01	$1,445.44	$2,187.76
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