Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.16 / $7,920.26 / $20,400.00	Facility		$1,013.16	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.54 / $1,010.34 / $1,212.11	Professional		$862.54	$1,010.34	$1,212.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.79 / $835.76 / $1,112.65	Facility		$606.79	$835.76	$1,112.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $633.24 / $867.65 / $931.30	Facility		$633.24	$867.65	$931.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.96 / $918.81 / $7,090.00	Facility		$615.96	$918.81	$7,090.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$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