Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $13,803.84	Facility		$1,000.00	$1,288.25	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,230.27	Professional		$812.83	$1,047.13	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $1,348.96	Facility		$501.19	$812.83	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $977.24 / $1,023.29	Facility		$776.25	$977.24	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,148.15	Facility		$512.86	$812.83	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $26,302.68	Facility		$3,630.78	$10,000.00	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33