Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $13,803.84	Facility		$1,819.70	$2,290.87	$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 $1,288.25 / $1,737.80 / $2,137.96	Professional		$1,288.25	$1,737.80	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,238.72	Facility		$912.01	$1,288.25	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $1,862.09	Facility		$1,348.96	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,137.96	Facility		$851.14	$1,288.25	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,511.38 / $13,803.84	Facility		$3,467.37	$8,511.38	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $26,302.68	Facility		$1,995.26	$12,882.50	$26,302.68