Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.20 / $5,116.62 / $20,400.00	Facility		$1,012.20	$5,116.62	$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 $869.31 / $1,021.24 / $1,225.20	Professional		$869.31	$1,021.24	$1,225.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $832.32 / $1,088.84	Facility		$643.00	$832.32	$1,088.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.74 / $854.25 / $929.29	Facility		$617.74	$854.25	$929.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $904.76 / $5,217.00	Facility		$643.00	$904.76	$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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00