Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.47 / $7,920.26 / $20,400.00	Facility		$1,653.47	$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 $746.56 / $1,534.51 / $1,721.53	Professional		$746.56	$1,534.51	$1,721.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $746.56 / $1,157.17 / $1,755.86	Facility		$746.56	$1,157.17	$1,755.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $861.44 / $1,241.51 / $1,477.35	Facility		$861.44	$1,241.51	$1,477.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.14 / $1,603.31 / $6,437.00	Facility		$870.14	$1,603.31	$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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00