Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $7,943.28 / $33,884.42	Facility		$851.14	$7,943.28	$33,884.42
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 $1,479.11 / $1,995.26 / $2,398.83	Professional		$1,479.11	$1,995.26	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,511.89	Facility		$831.76	$1,380.38	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,041.74	Facility		$1,621.81	$1,905.46	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,187.76	Facility		$851.14	$1,380.38	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $33,113.11 / $52,480.75	Facility		$13,489.63	$33,113.11	$52,480.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78