Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.22 / $4,962.67 / $15,341.00	Facility		$1,012.22	$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 $867.07 / $1,021.92 / $1,226.01	Professional		$867.07	$1,021.92	$1,226.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.82 / $804.24 / $1,080.34	Facility		$590.82	$804.24	$1,080.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.66 / $846.88 / $929.29	Facility		$594.66	$846.88	$929.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.63 / $902.82 / $2,919.00	Facility		$612.63	$902.82	$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