Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,074.00 / $7,074.00 / $20,400.00	Professional		$7,074.00	$7,074.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,553.84 / $2,087.73 / $4,395.14	Facility		$1,553.84	$2,087.73	$4,395.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $928.03 / $1,345.64 / $2,108.88	Facility		$928.03	$1,345.64	$2,108.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,208.54 / $15,220.55 / $17,188.49	Facility		$15,208.54	$15,220.55	$17,188.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $15,109.01 / $24,231.00	Facility		$2,912.00	$15,109.01	$24,231.00