Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $3,107.00 / $20,400.00	Facility		$888.00	$3,107.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.00 / $1,066.39 / $1,441.91	Professional		$843.00	$1,066.39	$1,441.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $536.92 / $871.61 / $1,364.72	Facility		$536.92	$871.61	$1,364.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $688.28 / $1,081.11 / $1,205.64	Facility		$688.28	$1,081.11	$1,205.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.24 / $934.25 / $1,661.45	Facility		$557.24	$934.25	$1,661.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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