Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $13,803.84	Facility		$2,089.30	$2,630.27	$13,803.84
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 $1,479.11 / $2,041.74 / $2,454.71	Professional		$1,479.11	$2,041.74	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,511.89	Facility		$1,047.13	$1,445.44	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,089.30	Facility		$1,479.11	$2,041.74	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,398.83	Facility		$977.24	$1,445.44	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $13,182.57	Facility		$3,467.37	$5,128.61	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86