Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $13,182.57	Facility		$1,737.80	$2,290.87	$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 $831.76 / $1,659.59 / $1,905.46	Professional		$831.76	$1,659.59	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,884.03	Facility		$891.25	$1,348.96	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,778.28	Facility		$1,096.48	$1,513.56	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,089.30	Facility		$812.83	$1,288.25	$2,089.30
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