Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.00 / $7,920.26 / $20,400.00	Facility		$1,506.00	$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 $1,257.15 / $1,491.39 / $1,789.24	Professional		$1,257.15	$1,491.39	$1,789.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.73 / $1,198.65 / $1,507.90	Facility		$829.73	$1,198.65	$1,507.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $850.13 / $1,175.84 / $1,360.10	Facility		$850.13	$1,175.84	$1,360.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $850.47 / $1,281.08 / $5,217.00	Facility		$850.47	$1,281.08	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$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