Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $23,988.33	Facility		$2,884.03	$4,168.69	$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 $2,238.72 / $2,951.21 / $3,467.37	Professional		$2,238.72	$2,951.21	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $4,073.80	Facility		$1,445.44	$2,344.23	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,019.95	Facility		$2,454.71	$2,884.03	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,467.37	Facility		$1,445.44	$2,290.87	$3,467.37
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