Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.31 / $7,920.26 / $20,400.00	Facility		$1,132.31	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.82 / $1,143.75 / $1,372.18	Professional		$969.82	$1,143.75	$1,372.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $579.10 / $892.80 / $1,227.40	Facility		$579.10	$892.80	$1,227.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $651.91 / $958.92 / $1,076.02	Facility		$651.91	$958.92	$1,076.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.10 / $939.30 / $1,342.07	Facility		$579.10	$939.30	$1,342.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,245.60 / $9,164.84 / $11,765.12	Facility		$4,245.60	$9,164.84	$11,765.12
United Facility/Professional Facility Modifier Low / Median / High Price $644.29 / $4,113.00 / $6,216.00	Facility		$644.29	$4,113.00	$6,216.00