Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $13,182.57	Facility		$1,318.26	$2,818.38	$13,182.57
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 $1,023.29 / $1,348.96 / $1,621.81	Professional		$1,023.29	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,137.96	Facility		$630.96	$1,000.00	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,348.96	Facility		$1,096.48	$1,318.26	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,659.59	Facility		$645.65	$1,096.48	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68