Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.90 / $2,747.00 / $13,320.00	Facility		$1,011.90	$2,747.00	$13,320.00
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 $863.36 / $1,011.78 / $1,213.23	Professional		$863.36	$1,011.78	$1,213.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.82 / $842.58 / $1,106.70	Facility		$587.82	$842.58	$1,106.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $633.24 / $866.16 / $923.93	Facility		$633.24	$866.16	$923.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.75 / $896.40 / $5,217.00	Facility		$594.75	$896.40	$5,217.00
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 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00