Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.99 / $1,758.00 / $13,320.00	Facility		$926.99	$1,758.00	$13,320.00
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 $1,045.59 / $1,264.58 / $1,582.85	Professional		$1,045.59	$1,264.58	$1,582.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $548.54 / $1,006.26 / $1,508.89	Facility		$548.54	$1,006.26	$1,508.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $802.33 / $1,207.94 / $1,329.40	Facility		$802.33	$1,207.94	$1,329.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.55 / $1,032.49 / $1,841.94	Facility		$566.55	$1,032.49	$1,841.94
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