Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $13,803.84	Facility		$1,778.28	$2,344.23	$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 $851.14 / $1,698.24 / $1,949.84	Professional		$851.14	$1,698.24	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,951.21	Facility		$933.25	$1,380.38	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,819.70	Facility		$1,096.48	$1,548.82	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,137.96	Facility		$851.14	$1,318.26	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
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