Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.29 / $8,952.00 / $32,689.00	Facility		$1,572.29	$8,952.00	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.32 / $2,901.32 / $4,375.60	Facility		$2,901.32	$2,901.32	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.46 / $1,500.15 / $1,840.85	Professional		$1,142.46	$1,500.15	$1,840.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $787.38 / $1,287.86 / $1,976.16	Facility		$787.38	$1,287.86	$1,976.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $979.06 / $1,376.18 / $1,460.60	Facility		$979.06	$1,376.18	$1,460.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $877.98 / $1,465.50 / $2,511.71	Facility		$877.98	$1,465.50	$2,511.71
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