Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $13,803.84	Facility		$2,137.96	$7,943.28	$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 $1,023.29 / $2,041.74 / $2,344.23	Professional		$1,023.29	$2,041.74	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,548.13	Facility		$1,096.48	$1,659.59	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,187.76	Facility		$1,380.38	$1,905.46	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,570.40	Facility		$1,023.29	$1,584.89	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68