Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $13,182.57	Facility		$1,000.00	$1,318.26	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,230.27	Professional		$776.25	$1,023.29	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $1,318.26	Facility		$501.19	$812.83	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,023.29	Facility		$812.83	$954.99	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,202.26	Facility		$512.86	$812.83	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68