Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.92 / $5,649.00 / $15,341.00	Facility		$1,210.92	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $5,022.74	Facility		$4,375.60	$4,375.60	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.18 / $1,154.44 / $1,418.08	Professional		$879.18	$1,154.44	$1,418.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $901.00 / $1,761.04	Facility		$568.77	$901.00	$1,761.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $767.45 / $1,061.28 / $1,102.15	Facility		$767.45	$1,061.28	$1,102.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.76 / $1,171.30 / $1,761.04	Facility		$592.76	$1,171.30	$1,761.04
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