Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $15,848.93	Facility		$1,047.13	$3,235.94	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $5,011.87	Facility		$2,344.23	$2,344.23	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,659.59	Professional		$933.25	$1,258.93	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,737.80	Facility		$676.08	$977.24	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,380.38	Facility		$1,023.29	$1,348.96	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $1,698.24	Facility		$645.65	$977.24	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$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