Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.75 / $4,962.67 / $15,341.00	Facility		$1,145.75	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.30 / $1,148.23 / $1,377.55	Professional		$979.30	$1,148.23	$1,377.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $689.75 / $929.34 / $1,234.20	Facility		$689.75	$929.34	$1,234.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $703.01 / $969.49 / $1,054.58	Facility		$703.01	$969.49	$1,054.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.02 / $1,016.80 / $2,919.00	Facility		$710.02	$1,016.80	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
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