Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.17 / $4,962.67 / $15,341.00	Facility		$1,136.17	$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 $972.85 / $1,140.86 / $1,368.72	Professional		$972.85	$1,140.86	$1,368.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $674.22 / $928.08 / $1,227.40	Facility		$674.22	$928.08	$1,227.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $699.13 / $961.29 / $1,044.53	Facility		$699.13	$961.29	$1,044.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.31 / $1,015.39 / $2,919.00	Facility		$700.31	$1,015.39	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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