Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.07 / $7,920.26 / $20,400.00	Facility		$1,170.07	$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 $982.43 / $1,157.93 / $1,380.56	Professional		$982.43	$1,157.93	$1,380.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.68 / $1,019.23 / $1,330.25	Facility		$744.68	$1,019.23	$1,330.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $754.85 / $1,030.32 / $1,063.96	Facility		$754.85	$1,030.32	$1,063.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.68 / $1,036.38 / $1,348.93	Facility		$744.68	$1,036.38	$1,348.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,245.60 / $9,164.84 / $11,765.12	Facility		$4,245.60	$9,164.84	$11,765.12
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