Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $11,748.98 / $16,982.44	Facility		$2,511.89	$11,748.98	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
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 $1,202.26 / $1,737.80 / $10,000.00	Facility		$1,202.26	$1,737.80	$10,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,238.72	Facility		$1,778.28	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,818.38	Facility		$1,096.48	$1,737.80	$2,818.38
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