Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,787.48 / $3,400.68 / $19,020.71	Facility		$2,787.48	$3,400.68	$19,020.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,201.11 / $2,890.25 / $3,595.17	Professional		$2,201.11	$2,890.25	$3,595.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,443.18 / $2,538.40 / $3,869.93	Facility		$1,443.18	$2,538.40	$3,869.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,891.89 / $2,643.15 / $2,775.08	Facility		$1,891.89	$2,643.15	$2,775.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,494.74 / $2,822.82 / $3,869.93	Facility		$1,494.74	$2,822.82	$3,869.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00