Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $21,877.62	Facility		$2,818.38	$3,630.78	$21,877.62
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 $1,230.27 / $2,511.89 / $2,884.03	Professional		$1,230.27	$2,511.89	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $4,570.88	Facility		$1,445.44	$2,137.96	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $2,818.38	Facility		$2,089.30	$2,691.53	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,548.13	Facility		$1,380.38	$2,137.96	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $46,773.51	Facility		$17,378.01	$26,302.68	$46,773.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $63,095.73	Facility		$3,019.95	$20,892.96	$63,095.73