Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $7,920.26 / $20,400.00	Facility		$1,017.73	$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 $855.36 / $1,018.65 / $1,222.08	Professional		$855.36	$1,018.65	$1,222.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.54 / $775.88 / $1,019.50	Facility		$524.54	$775.88	$1,019.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.79 / $754.36 / $923.93	Facility		$537.79	$754.36	$923.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.67 / $814.12 / $5,217.00	Facility		$609.67	$814.12	$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