Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $12,302.69 / $26,302.68	Facility		$1,905.46	$12,302.69	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,737.80 / $1,949.84	Professional		$851.14	$1,737.80	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $9,120.11	Facility		$1,023.29	$1,513.56	$9,120.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Facility		$1,548.82	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,511.89	Facility		$977.24	$1,548.82	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $16,595.87	Facility		$10,715.19	$13,803.84	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33