Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,707.50 / $14,614.14 / $59,252.00	Facility		$2,707.50	$14,614.14	$59,252.00
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
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,970.78 / $2,587.81 / $3,166.92	Professional		$1,970.78	$2,587.81	$3,166.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.58 / $2,221.61 / $3,425.65	Facility		$1,363.58	$2,221.61	$3,425.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,669.34 / $2,390.56 / $2,510.48	Facility		$1,669.34	$2,390.56	$2,510.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,459.40 / $2,517.73 / $3,425.65	Facility		$1,459.40	$2,517.73	$3,425.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.53 / $6,457.53 / $6,457.53	Facility		$6,457.53	$6,457.53	$6,457.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00