Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $13,803.84	Facility		$1,288.25	$1,659.59	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,548.82	Professional		$977.24	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,584.89	Facility		$616.60	$1,000.00	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,288.25	Facility		$933.25	$1,230.27	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,445.44	Facility		$630.96	$1,000.00	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38