Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.89 / $5,649.00 / $15,341.00	Facility		$1,331.89	$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 $970.43 / $1,274.27 / $1,579.67	Professional		$970.43	$1,274.27	$1,579.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.55 / $1,078.29 / $1,626.28	Facility		$651.55	$1,078.29	$1,626.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $782.55 / $1,134.98 / $1,216.05	Facility		$782.55	$1,134.98	$1,216.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.72 / $1,200.69 / $2,091.17	Facility		$663.72	$1,200.69	$2,091.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
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