Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.68 / $8,878.56 / $20,400.00	Facility		$1,315.68	$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 $600.64 / $1,246.58 / $1,385.10	Professional		$600.64	$1,246.58	$1,385.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $605.54 / $937.02 / $1,650.34	Facility		$605.54	$937.02	$1,650.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $782.65 / $1,122.25 / $1,185.23	Facility		$782.65	$1,122.25	$1,185.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.05 / $1,387.58 / $7,339.00	Facility		$728.05	$1,387.58	$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 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00