Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.89 / $7,920.26 / $20,400.00	Facility		$1,155.89	$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 $986.85 / $1,155.91 / $1,386.77	Professional		$986.85	$1,155.91	$1,386.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.85 / $956.66 / $1,258.00	Facility		$692.85	$956.66	$1,258.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.97 / $983.56 / $1,061.28	Facility		$719.97	$983.56	$1,061.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.93 / $1,041.24 / $5,217.00	Facility		$722.93	$1,041.24	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00