Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.69 / $12,274.80 / $21,735.00	Facility		$1,481.69	$12,274.80	$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 $682.23 / $1,416.52 / $1,573.91	Professional		$682.23	$1,416.52	$1,573.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $682.23 / $1,057.46 / $1,841.02	Facility		$682.23	$1,057.46	$1,841.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $859.77 / $1,242.18 / $1,342.68	Facility		$859.77	$1,242.18	$1,342.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $827.29 / $1,559.43 / $10,990.00	Facility		$827.29	$1,559.43	$10,990.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
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