Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.50 / $4,962.67 / $15,341.00	Facility		$1,123.50	$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 $962.27 / $1,127.13 / $1,352.24	Professional		$962.27	$1,127.13	$1,352.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.79 / $938.40 / $1,326.85	Facility		$693.79	$938.40	$1,326.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.67 / $998.97 / $1,051.90	Facility		$760.67	$998.97	$1,051.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.31 / $1,044.33 / $2,919.00	Facility		$730.31	$1,044.33	$2,919.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00