Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,161.05 / $3,161.05 / $7,920.26	Facility		$3,161.05	$3,161.05	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,400.00 / $20,400.00 / $20,400.00	Professional		$20,400.00	$20,400.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.77 / $995.77 / $995.77	Professional		$995.77	$995.77	$995.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.41 / $1,063.00 / $1,703.00	Facility		$509.41	$1,063.00	$1,703.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,644,398.00	Facility		$1,664.70	$1,664.70	$1,644,398.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $818.37 / $884.86	Professional		$219.71	$818.37	$884.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,983.00 / $4,911.00	Facility		$1,096.00	$2,983.00	$4,911.00