Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.32 / $8,369.76 / $30,593.00	Facility		$1,651.32	$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 $1,194.71 / $1,568.76 / $1,927.62	Professional		$1,194.71	$1,568.76	$1,927.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $818.38 / $1,346.64 / $2,097.41	Facility		$818.38	$1,346.64	$2,097.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,010.16 / $1,455.36 / $1,507.56	Facility		$1,010.16	$1,455.36	$1,507.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.89 / $1,560.52 / $2,591.21	Facility		$873.89	$1,560.52	$2,591.21
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