Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $23,988.33	Facility		$2,951.21	$3,801.89	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,548.13	Professional		$2,290.87	$3,090.30	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,715.35	Facility		$1,445.44	$2,238.72	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,090.30	Facility		$2,454.71	$2,951.21	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,548.13	Facility		$1,479.11	$2,238.72	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78