Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,920.26 / $20,400.00	Facility		$1,905.46	$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 $862.41 / $1,773.75 / $1,988.67	Professional		$862.41	$1,773.75	$1,988.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $862.41 / $1,336.74 / $2,063.16	Facility		$862.41	$1,336.74	$2,063.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $994.13 / $1,440.39 / $1,705.15	Facility		$994.13	$1,440.39	$1,705.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.73 / $1,845.49 / $6,437.00	Facility		$993.73	$1,845.49	$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