Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $5,022.74	Facility		$2,310.00	$2,310.00	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,281.99 / $1,681.20 / $2,110.35	Professional		$1,281.99	$1,681.20	$2,110.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $1,459.11 / $2,254.76	Facility		$844.16	$1,459.11	$2,254.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,020.03 / $1,531.62 / $1,624.52	Facility		$1,020.03	$1,531.62	$1,624.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $916.92 / $1,703.32 / $2,760.59	Facility		$916.92	$1,703.32	$2,760.59
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 $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00