Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $7,943.28	Facility		$2,041.74	$2,511.89	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,344.23	Professional		$1,445.44	$1,905.46	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,511.89	Facility		$933.25	$1,513.56	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $1,995.26	Facility		$1,479.11	$1,949.84	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,398.83	Facility		$912.01	$1,513.56	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $38,018.94	Facility		$2,884.03	$17,782.79	$38,018.94