Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $8,912.51 / $13,803.84	Facility		$2,041.74	$8,912.51	$13,803.84
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 $1,513.56 / $1,995.26 / $2,454.71	Professional		$1,513.56	$1,995.26	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $7,943.28	Facility		$954.99	$1,584.89	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,041.74	Facility		$1,659.59	$1,995.26	$2,041.74
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 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
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