Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.49 / $8,952.00 / $32,689.00	Facility		$1,296.49	$8,952.00	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,901.32	Facility		$2,059.63	$2,059.63	$2,901.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.91 / $1,248.64 / $1,538.91	Professional		$950.91	$1,248.64	$1,538.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.32 / $1,071.94 / $1,597.59	Facility		$636.32	$1,071.94	$1,597.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $824.62 / $1,112.20 / $1,203.32	Facility		$824.62	$1,112.20	$1,203.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.29 / $1,184.69 / $2,069.29	Facility		$711.29	$1,184.69	$2,069.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
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