Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.17 / $8,952.00 / $32,689.00	Facility		$1,267.17	$8,952.00	$32,689.00
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 $1,012.82 / $1,329.93 / $1,629.18	Professional		$1,012.82	$1,329.93	$1,629.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.36 / $1,141.73 / $1,754.94	Facility		$720.36	$1,141.73	$1,754.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $885.18 / $1,224.08 / $1,294.44	Facility		$885.18	$1,224.08	$1,294.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.70 / $1,291.56 / $1,754.94	Facility		$749.70	$1,291.56	$1,754.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $28,321.84	Facility		$8,763.99	$12,680.11	$28,321.84
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