Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.20 / $8,878.56 / $20,400.00	Facility		$1,864.20	$8,878.56	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.56 / $1,761.71 / $1,957.45	Professional		$845.56	$1,761.71	$1,957.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $1,355.16 / $2,351.02	Facility		$869.72	$1,355.16	$2,351.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,152.63 / $1,593.93 / $1,677.68	Facility		$1,152.63	$1,593.93	$1,677.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $992.58 / $1,967.35 / $7,339.00	Facility		$992.58	$1,967.35	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00