Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.30 / $8,369.76 / $30,593.00	Facility		$1,449.30	$8,369.76	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.67 / $1,386.19 / $1,712.05	Professional		$1,055.67	$1,386.19	$1,712.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.11 / $1,188.00 / $1,795.66	Facility		$719.11	$1,188.00	$1,795.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.05 / $1,255.58 / $1,317.22	Facility		$832.05	$1,255.58	$1,317.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $770.63 / $1,318.27 / $2,265.15	Facility		$770.63	$1,318.27	$2,265.15
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 $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00