Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.83 / $4,962.67 / $15,341.00	Facility		$1,077.83	$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 $919.89 / $1,077.49 / $1,292.68	Professional		$919.89	$1,077.49	$1,292.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.50 / $874.80 / $1,173.00	Facility		$636.50	$874.80	$1,173.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $666.67 / $921.92 / $990.26	Facility		$666.67	$921.92	$990.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.46 / $955.88 / $2,919.00	Facility		$656.46	$955.88	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $157.59 / $157.59 / $157.59	Facility	AS	$157.59	$157.59	$157.59
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