Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $7,920.26 / $30,593.00	Facility		$1,235.00	$7,920.26	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $3,369.90	Facility		$1,664.70	$1,664.70	$3,369.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.51 / $1,313.76 / $1,621.39	Professional		$1,000.51	$1,313.76	$1,621.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.52 / $1,123.72 / $1,712.36	Facility		$658.52	$1,123.72	$1,712.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $801.90 / $1,194.60 / $1,273.00	Facility		$801.90	$1,194.60	$1,273.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.45 / $1,255.94 / $2,189.11	Facility		$691.45	$1,255.94	$2,189.11
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