Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.43 / $7,920.26 / $20,400.00	Facility		$1,962.43	$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 $890.23 / $1,832.92 / $2,052.82	Professional		$890.23	$1,832.92	$2,052.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.23 / $1,379.86 / $2,154.80	Facility		$890.23	$1,379.86	$2,154.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,053.17 / $1,484.28 / $1,760.09	Facility		$1,053.17	$1,484.28	$1,760.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.83 / $1,904.18 / $6,437.00	Facility		$1,035.83	$1,904.18	$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