Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.26 / $7,920.26 / $20,400.00	Facility		$1,043.26	$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 $893.43 / $1,046.50 / $1,255.50	Professional		$893.43	$1,046.50	$1,255.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.41 / $866.14 / $1,152.59	Facility		$633.41	$866.14	$1,152.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.98 / $900.48 / $955.42	Facility		$656.98	$900.48	$955.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.84 / $946.64 / $5,217.00	Facility		$657.84	$946.64	$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