Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $13,803.84	Facility		$1,548.82	$1,995.26	$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 $1,122.02 / $1,548.82 / $1,862.09	Professional		$1,122.02	$1,548.82	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,905.46	Facility		$776.25	$1,122.02	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,584.89	Facility		$1,122.02	$1,548.82	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,862.09	Facility		$758.58	$1,096.48	$1,862.09
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 $1,621.81 / $9,549.93 / $23,988.33	Facility		$1,621.81	$9,549.93	$23,988.33