Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.19 / $7,920.26 / $20,400.00	Facility		$1,114.19	$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 $952.81 / $1,116.05 / $1,338.94	Professional		$952.81	$1,116.05	$1,338.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $704.29 / $923.76 / $1,211.25	Facility		$704.29	$923.76	$1,211.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.44 / $942.92 / $1,020.41	Facility		$689.44	$942.92	$1,020.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.76 / $1,005.85 / $5,217.00	Facility		$708.76	$1,005.85	$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