Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.29 / $7,920.26 / $20,400.00	Facility		$1,009.29	$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 $867.15 / $1,019.25 / $1,222.81	Professional		$867.15	$1,019.25	$1,222.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.62 / $810.72 / $1,080.34	Facility		$592.62	$810.72	$1,080.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.38 / $848.22 / $927.28	Facility		$613.38	$848.22	$927.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $608.92 / $898.63 / $5,217.00	Facility		$608.92	$898.63	$5,217.00
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