Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,786.30 / $14,125.38	Facility		$1,412.54	$4,786.30	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,235.94	Facility		$1,949.84	$1,949.84	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,659.59	Professional		$1,000.00	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,698.24	Facility		$691.83	$977.24	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,445.44	Facility		$1,000.00	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,659.59	Facility		$676.08	$977.24	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $14,454.40	Facility		$8,511.38	$11,748.98	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $14,454.40	Facility		$1,621.81	$9,549.93	$14,454.40