Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.68 / $7,074.00 / $20,400.00	Facility		$1,075.68	$7,074.00	$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 $999.63 / $1,170.89 / $1,404.73	Professional		$999.63	$1,170.89	$1,404.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.16 / $1,037.07 / $1,361.70	Facility		$758.16	$1,037.07	$1,361.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $778.11 / $1,045.86 / $1,082.72	Facility		$778.11	$1,045.86	$1,082.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.16 / $1,123.24 / $5,217.00	Facility		$758.16	$1,123.24	$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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00