Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.74 / $4,704.00 / $14,122.15	Facility		$1,541.74	$4,704.00	$14,122.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $3,229.54	Facility		$1,937.44	$1,937.44	$3,229.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,120.95 / $1,471.91 / $1,806.12	Professional		$1,120.95	$1,471.91	$1,806.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $756.12 / $1,263.56 / $1,948.39	Facility		$756.12	$1,263.56	$1,948.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $938.45 / $1,356.75 / $1,429.78	Facility		$938.45	$1,356.75	$1,429.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.51 / $1,441.40 / $2,450.00	Facility		$829.51	$1,441.40	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,453.20 / $11,142.10 / $14,336.76	Facility		$8,453.20	$11,142.10	$14,336.76
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