Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.84 / $5,649.00 / $15,341.00	Facility		$1,263.84	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.70 / $1,208.96 / $1,492.33	Professional		$920.70	$1,208.96	$1,492.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.48 / $998.69 / $1,566.12	Facility		$541.48	$998.69	$1,566.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $701.37 / $1,089.42 / $1,147.71	Facility		$701.37	$1,089.42	$1,147.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.96 / $1,146.31 / $1,973.65	Facility		$566.96	$1,146.31	$1,973.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00