Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.46 / $7,920.26 / $20,400.00	Facility		$1,052.46	$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 $879.48 / $1,046.48 / $1,255.47	Professional		$879.48	$1,046.48	$1,255.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $539.37 / $794.30 / $1,046.53	Facility		$539.37	$794.30	$1,046.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.78 / $776.29 / $949.39	Facility		$553.78	$776.29	$949.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.82 / $831.00 / $5,217.00	Facility		$628.82	$831.00	$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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00