Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.65 / $11,739.50 / $24,447.00	Facility		$983.65	$11,739.50	$24,447.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $12,319.55	Facility		$4,375.60	$4,375.60	$12,319.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.17 / $1,240.28 / $14,295.75	Professional		$844.17	$1,240.28	$14,295.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.80 / $5,385.30 / $17,975.93	Facility		$656.80	$5,385.30	$17,975.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $881.72 / $11,154.68 / $13,144.06	Facility		$881.72	$11,154.68	$13,144.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.90 / $6,609.37 / $17,975.93	Facility		$668.90	$6,609.37	$17,975.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $38,534.69	Facility		$13,624.30	$18,659.50	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00