Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.26 / $8,369.76 / $30,593.00	Facility		$1,400.26	$8,369.76	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.81 / $1,331.22 / $1,642.89	Professional		$1,013.81	$1,331.22	$1,642.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $675.98 / $1,142.66 / $1,748.46	Facility		$675.98	$1,142.66	$1,748.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $868.71 / $1,199.97 / $1,276.34	Facility		$868.71	$1,199.97	$1,276.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.79 / $1,326.59 / $2,194.88	Facility		$743.79	$1,326.59	$2,194.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $784.96 / $16,268.00 / $22,956.00	Facility		$784.96	$16,268.00	$22,956.00