Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.08 / $7,920.26 / $20,400.00	Facility		$1,105.08	$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 $924.39 / $1,104.65 / $1,325.26	Professional		$924.39	$1,104.65	$1,325.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.34 / $876.39 / $1,101.29	Facility		$588.34	$876.39	$1,101.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.03 / $820.08 / $998.97	Facility		$593.03	$820.08	$998.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.68 / $905.01 / $5,217.00	Facility		$675.68	$905.01	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $10,171.54 / $12,117.15	Facility		$6,364.17	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00