Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $13,803.84	Facility		$1,412.54	$1,819.70	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,365.16	Facility		$2,884.03	$2,884.03	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,698.24	Professional		$1,023.29	$1,412.54	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,737.80	Facility		$724.44	$1,023.29	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,445.44	Facility		$1,023.29	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,698.24	Facility		$691.83	$1,023.29	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
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