Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $23,988.33	Facility		$1,862.09	$2,344.23	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,187.76	Professional		$1,318.26	$1,819.70	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,398.83	Facility		$954.99	$1,380.38	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,905.46	Facility		$1,318.26	$1,778.28	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,137.96	Facility		$891.25	$1,288.25	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78