Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $13,182.57	Facility		$1,698.24	$2,187.76	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $1,862.09	Professional		$812.83	$1,621.81	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,041.74	Facility		$870.96	$1,258.93	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,698.24	Facility		$1,047.13	$1,479.11	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,995.26	Facility		$794.33	$1,230.27	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68