Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $7,943.28	Facility		$1,659.59	$2,089.30	$7,943.28
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 $1,174.90 / $1,621.81 / $1,949.84	Professional		$1,174.90	$1,621.81	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,041.74	Facility		$831.76	$1,174.90	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,698.24	Facility		$1,202.26	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,949.84	Facility		$794.33	$1,148.15	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $6,918.31	Facility		$1,778.28	$4,365.16	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10