Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $7,075.33 / $19,234.00	Facility		$3,213.00	$7,075.33	$19,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,704.00 / $4,704.00 / $20,400.00	Professional		$4,704.00	$4,704.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $205.97 / $205.97	Professional		$205.97	$205.97	$205.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.54 / $369.00 / $591.00	Facility		$192.54	$369.00	$591.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,644,131.36	Facility		$1,664.70	$1,664.70	$1,644,131.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $710.18 / $914.40	Facility		$555.45	$710.18	$914.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,268.75 / $2,052.50 / $2,219.27	Professional		$1,268.75	$2,052.50	$2,219.27
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00