Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $21,877.62	Facility		$3,715.35	$4,786.30	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $5,011.87	Facility		$3,235.94	$3,235.94	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $4,466.84	Professional		$2,511.89	$3,467.37	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,570.88	Facility		$1,698.24	$2,511.89	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $3,715.35	Facility		$2,691.53	$3,630.78	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $4,365.16	Facility		$1,621.81	$2,511.89	$4,365.16
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