Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $15,848.93	Facility		$3,311.31	$4,265.80	$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 $2,630.27 / $3,467.37 / $3,981.07	Professional		$2,630.27	$3,467.37	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $4,265.80	Facility		$1,659.59	$2,570.40	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,467.37	Facility		$2,570.40	$3,311.31	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,981.07	Facility		$1,659.59	$2,570.40	$3,981.07
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