Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.98 / $4,704.00 / $8,728.00	Facility		$1,180.98	$4,704.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $3,369.90	Facility		$1,937.44	$1,937.44	$3,369.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.71 / $1,247.05 / $1,533.43	Professional		$949.71	$1,247.05	$1,533.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.39 / $1,070.57 / $1,618.87	Facility		$614.39	$1,070.57	$1,618.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $796.59 / $1,128.28 / $1,204.66	Facility		$796.59	$1,128.28	$1,204.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $680.52 / $1,215.26 / $2,071.60	Facility		$680.52	$1,215.26	$2,071.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,229.67 / $14,490.61	Facility		$8,391.79	$11,229.67	$14,490.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00