Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $13,803.84	Facility		$2,041.74	$2,630.27	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,454.71	Professional		$1,380.38	$1,905.46	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,511.89	Facility		$912.01	$1,348.96	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $1,995.26	Facility		$1,445.44	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,398.83	Facility		$870.96	$1,348.96	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $22,387.21	Facility		$1,621.81	$9,549.93	$22,387.21