Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $13,182.57	Facility		$1,258.93	$1,621.81	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,011.87	Facility		$1,659.59	$1,659.59	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,513.56	Professional		$851.14	$1,148.15	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $1,513.56	Facility		$616.60	$891.25	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,288.25	Facility		$1,023.29	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,479.11	Facility		$588.84	$912.01	$1,479.11
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 $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33