Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.65 / $4,962.67 / $15,341.00	Facility		$1,118.65	$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 $954.51 / $1,118.04 / $1,341.33	Professional		$954.51	$1,118.04	$1,341.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $677.05 / $926.28 / $1,234.20	Facility		$677.05	$926.28	$1,234.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.34 / $960.89 / $1,027.10	Facility		$708.34	$960.89	$1,027.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.39 / $1,018.31 / $2,919.00	Facility		$705.39	$1,018.31	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00