Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $10,180.24 / $42,921.00	Facility		$1,316.25	$10,180.24	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,901.32	Facility		$2,341.30	$2,341.30	$2,901.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.52 / $1,261.25 / $1,551.06	Professional		$960.52	$1,261.25	$1,551.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.82 / $1,082.76 / $1,638.31	Facility		$657.82	$1,082.76	$1,638.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $837.22 / $1,132.30 / $1,224.76	Facility		$837.22	$1,132.30	$1,224.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.20 / $1,209.04 / $2,106.15	Facility		$733.20	$1,209.04	$2,106.15
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 $754.92 / $12,835.00 / $25,015.00	Facility		$754.92	$12,835.00	$25,015.00