Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.21 / $5,380.00 / $15,341.00	Facility		$1,031.21	$5,380.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.94 / $1,098.98 / $1,361.19	Professional		$836.94	$1,098.98	$1,361.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $544.91 / $943.47 / $1,466.15	Facility		$544.91	$943.47	$1,466.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $726.75 / $984.90 / $1,049.22	Facility		$726.75	$984.90	$1,049.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.65 / $1,112.67 / $1,804.29	Facility		$615.65	$1,112.67	$1,804.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00