Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.39 / $7,920.26 / $20,400.00	Facility		$1,046.39	$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 $873.13 / $1,038.95 / $1,246.44	Professional		$873.13	$1,038.95	$1,246.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.83 / $788.88 / $1,035.75	Facility		$538.83	$788.88	$1,035.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $541.91 / $770.79 / $943.36	Facility		$541.91	$770.79	$943.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.53 / $839.19 / $5,217.00	Facility		$624.53	$839.19	$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