Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.11 / $7,920.26 / $20,400.00	Facility		$1,057.11	$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 $906.50 / $1,064.33 / $1,276.89	Professional		$906.50	$1,064.33	$1,276.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.44 / $856.08 / $1,141.55	Facility		$622.44	$856.08	$1,141.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.23 / $894.54 / $972.17	Facility		$649.23	$894.54	$972.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.38 / $942.40 / $5,217.00	Facility		$645.38	$942.40	$5,217.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00