Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $20,417.38	Facility		$1,737.80	$5,370.32	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,862.09	Professional		$1,096.48	$1,513.56	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,570.40	Facility		$794.33	$1,202.26	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,584.89	Facility		$1,096.48	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,819.70	Facility		$707.95	$1,047.13	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $21,379.62	Facility		$8,912.51	$12,302.69	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $22,908.68	Facility		$1,621.81	$9,549.93	$22,908.68