Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.85 / $7,920.26 / $20,400.00	Facility		$1,144.85	$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 $976.63 / $1,143.95 / $1,372.41	Professional		$976.63	$1,143.95	$1,372.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.94 / $947.36 / $1,255.45	Facility		$717.94	$947.36	$1,255.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $717.06 / $976.19 / $1,053.24	Facility		$717.06	$976.19	$1,053.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.72 / $1,030.43 / $5,217.00	Facility		$726.72	$1,030.43	$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