Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.78 / $7,920.26 / $20,400.00	Facility		$1,666.78	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.70 / $1,548.22 / $1,735.68	Professional		$752.70	$1,548.22	$1,735.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $752.70 / $1,166.69 / $1,769.75	Facility		$752.70	$1,166.69	$1,769.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.10 / $1,258.26 / $1,489.41	Facility		$872.10	$1,258.26	$1,489.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $877.53 / $1,618.22 / $6,437.00	Facility		$877.53	$1,618.22	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00