Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,943.28 / $15,848.93	Facility		$3,235.94	$7,943.28	$15,848.93
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 $2,511.89 / $3,388.44 / $3,890.45	Professional		$2,511.89	$3,388.44	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $4,168.69	Facility		$1,621.81	$2,511.89	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $3,388.44	Facility		$2,570.40	$3,162.28	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,890.45	Facility		$1,621.81	$2,454.71	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $22,387.21 / $27,542.29	Facility		$14,125.38	$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