Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.93 / $7,920.26 / $20,400.00	Facility		$1,066.93	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.28 / $1,071.00 / $1,284.89	Professional		$914.28	$1,071.00	$1,284.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $650.66 / $876.96 / $1,161.09	Facility		$650.66	$876.96	$1,161.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $663.77 / $908.52 / $982.89	Facility		$663.77	$908.52	$982.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $661.54 / $964.46 / $5,949.00	Facility		$661.54	$964.46	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00