Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.97 / $4,962.67 / $15,341.00	Facility		$1,146.97	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.83 / $1,156.43 / $1,387.39	Professional		$981.83	$1,156.43	$1,387.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.54 / $912.96 / $1,221.45	Facility		$669.54	$912.96	$1,221.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.38 / $956.09 / $1,052.57	Facility		$691.38	$956.09	$1,052.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.56 / $1,022.08 / $2,919.00	Facility		$693.56	$1,022.08	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$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