Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,856.85 / $14,614.14 / $59,252.00	Facility		$1,856.85	$14,614.14	$59,252.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,345.53 / $1,766.80 / $2,165.54	Professional		$1,345.53	$1,766.80	$2,165.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $915.90 / $1,516.78 / $2,368.61	Facility		$915.90	$1,516.78	$2,368.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,140.46 / $1,639.10 / $1,705.82	Facility		$1,140.46	$1,639.10	$1,705.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.14 / $1,722.71 / $2,368.61	Facility		$986.14	$1,722.71	$2,368.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,439.85 / $4,439.85 / $4,439.85	Facility		$4,439.85	$4,439.85	$4,439.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00