Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,041.74 / $6,606.93	Facility		$912.01	$2,041.74	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,344.23	Professional		$776.25	$1,148.15	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $2,187.76	Facility		$457.09	$954.99	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $1,819.70	Facility		$1,122.02	$1,621.81	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $1,905.46	Facility		$489.78	$977.24	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $22,387.21 / $27,542.29	Facility		$17,378.01	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $27,542.29	Facility		$3,019.95	$20,892.96	$27,542.29