Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.65 / $8,004.48 / $21,735.00	Facility		$1,750.65	$8,004.48	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $1,348.00 / $1,348.00	Facility		$1,348.00	$1,348.00	$1,348.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.39 / $1,658.16 / $1,842.40	Professional		$798.39	$1,658.16	$1,842.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.39 / $1,239.93 / $2,159.42	Facility		$798.39	$1,239.93	$2,159.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,029.07 / $1,483.95 / $1,577.85	Facility		$1,029.07	$1,483.95	$1,577.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $967.57 / $1,844.37 / $10,990.00	Facility		$967.57	$1,844.37	$10,990.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00