Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.29 / $7,920.26 / $20,400.00	Facility		$1,097.29	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.37 / $1,090.79 / $1,307.40	Professional		$930.37	$1,090.79	$1,307.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $908.30 / $1,241.73	Facility		$670.25	$908.30	$1,241.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $706.40 / $976.86 / $1,019.74	Facility		$706.40	$976.86	$1,019.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.53 / $1,008.91 / $5,217.00	Facility		$705.53	$1,008.91	$5,217.00
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