Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.48 / $7,920.26 / $30,593.00	Facility		$1,048.48	$7,920.26	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $6,096.00	Facility		$4,375.60	$4,375.60	$6,096.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $755.82 / $992.46 / $1,209.85	Professional		$755.82	$992.46	$1,209.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $488.96 / $777.89 / $1,559.35	Facility		$488.96	$777.89	$1,559.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $687.02 / $920.72 / $969.49	Facility		$687.02	$920.72	$969.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.14 / $1,037.15 / $1,559.35	Facility		$518.14	$1,037.15	$1,559.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
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