Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.73 / $7,920.26 / $20,400.00	Facility		$1,145.73	$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 $980.19 / $1,149.05 / $1,378.54	Professional		$980.19	$1,149.05	$1,378.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $710.57 / $935.28 / $1,237.59	Facility		$710.57	$935.28	$1,237.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $704.95 / $967.91 / $1,048.55	Facility		$704.95	$967.91	$1,048.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $715.50 / $1,019.21 / $5,217.00	Facility		$715.50	$1,019.21	$5,217.00
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