Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $13,182.57	Facility		$1,288.25	$1,659.59	$13,182.57
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 $977.24 / $1,288.25 / $1,548.82	Professional		$977.24	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,737.80	Facility		$645.65	$1,047.13	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,288.25	Facility		$1,071.52	$1,258.93	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,513.56	Facility		$645.65	$1,047.13	$1,513.56
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 $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78