Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.03 / $13,656.39 / $42,921.00	Facility		$1,088.03	$13,656.39	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $5,022.74	Facility		$2,341.30	$2,341.30	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.90 / $1,139.64 / $1,414.65	Professional		$867.90	$1,139.64	$1,414.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.10 / $979.80 / $1,583.70	Facility		$583.10	$979.80	$1,583.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.01 / $1,057.27 / $1,091.43	Facility		$781.01	$1,057.27	$1,091.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.86 / $1,189.39 / $1,876.88	Facility		$653.86	$1,189.39	$1,876.88
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 $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00