Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.02 / $7,920.26 / $20,400.00	Facility		$1,127.02	$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 $964.81 / $1,131.16 / $1,357.07	Professional		$964.81	$1,131.16	$1,357.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $715.48 / $1,023.14 / $1,373.59	Facility		$715.48	$1,023.14	$1,373.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.77 / $953.27 / $1,035.15	Facility		$694.77	$953.27	$1,035.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $715.48 / $1,103.35 / $5,217.00	Facility		$715.48	$1,103.35	$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 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00