Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $13,803.84	Facility		$2,398.83	$3,090.30	$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 $1,071.52 / $2,187.76 / $2,511.89	Professional		$1,071.52	$2,187.76	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,981.07	Facility		$1,258.93	$1,862.09	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,398.83	Facility		$1,905.46	$2,238.72	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $3,019.95	Facility		$1,202.26	$1,862.09	$3,019.95
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