Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $13,803.84	Facility		$2,187.76	$2,818.38	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,995.26 / $2,290.87	Professional		$977.24	$1,995.26	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,090.30	Facility		$1,122.02	$1,698.24	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,187.76	Facility		$1,548.82	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,754.23	Facility		$1,096.48	$1,659.59	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50