Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,943.28 / $19,054.61	Facility		$1,621.81	$7,943.28	$19,054.61
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 $1,230.27 / $1,659.59 / $1,949.84	Professional		$1,230.27	$1,659.59	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,041.74	Facility		$794.33	$1,258.93	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,659.59	Facility		$1,230.27	$1,548.82	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,905.46	Facility		$812.83	$1,258.93	$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 $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78