Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,016.39 / $6,629.40 / $8,728.00	Facility		$3,016.39	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $159.19 / $4,704.00	Professional		$159.19	$159.19	$4,704.00
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 $1,029.61 / $1,029.61 / $1,029.61	Professional		$1,029.61	$1,029.61	$1,029.61
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 $863.69 / $1,369.00 / $2,194.00	Facility		$863.69	$1,369.00	$2,194.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,644,530.36	Facility		$1,664.70	$1,664.70	$1,644,530.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,040.98 / $1,125.56 / $2,514.59	Professional		$1,040.98	$1,125.56	$2,514.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00