Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.58 / $4,684.68 / $8,728.00	Facility		$1,019.58	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.92 / $1,149.01 / $1,378.49	Professional		$978.92	$1,149.01	$1,378.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $509.92 / $857.39 / $1,221.45	Facility		$509.92	$857.39	$1,221.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.66 / $960.78 / $1,049.89	Facility		$645.66	$960.78	$1,049.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.92 / $1,002.41 / $2,450.00	Facility		$526.92	$1,002.41	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,090.00 / $12,786.00	Facility		$1,981.00	$8,090.00	$12,786.00