Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.42 / $4,962.67 / $15,341.00	Facility		$1,096.42	$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 $938.87 / $1,099.93 / $1,319.60	Professional		$938.87	$1,099.93	$1,319.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.15 / $906.48 / $1,198.50	Facility		$690.15	$906.48	$1,198.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.63 / $936.66 / $1,007.68	Facility		$683.63	$936.66	$1,007.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.04 / $992.72 / $2,919.00	Facility		$695.04	$992.72	$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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00