Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.48 / $7,920.26 / $30,593.00	Facility		$1,323.48	$7,920.26	$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 $953.71 / $1,246.16 / $1,569.96	Professional		$953.71	$1,246.16	$1,569.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.70 / $1,073.49 / $1,652.20	Facility		$604.70	$1,073.49	$1,652.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $727.02 / $1,124.26 / $1,194.39	Facility		$727.02	$1,124.26	$1,194.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.80 / $1,242.92 / $2,042.79	Facility		$633.80	$1,242.92	$2,042.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $18,246.18 / $21,922.68	Facility		$13,493.64	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00