Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.65 / $7,920.26 / $20,400.00	Facility		$1,172.65	$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 $984.39 / $1,153.04 / $1,383.31	Professional		$984.39	$1,153.04	$1,383.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $746.68 / $956.04 / $1,278.40	Facility		$746.68	$956.04	$1,278.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $727.23 / $1,005.67 / $1,072.00	Facility		$727.23	$1,005.67	$1,072.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.68 / $1,063.41 / $5,217.00	Facility		$746.68	$1,063.41	$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