Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.98 / $7,920.26 / $20,400.00	Facility		$1,012.98	$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 $870.43 / $1,019.56 / $1,223.18	Professional		$870.43	$1,019.56	$1,223.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.73 / $843.82 / $1,107.55	Facility		$641.73	$843.82	$1,107.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $635.66 / $868.99 / $933.31	Facility		$635.66	$868.99	$933.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.14 / $911.31 / $5,217.00	Facility		$643.14	$911.31	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00