Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.33 / $8,878.56 / $20,400.00	Facility		$1,474.33	$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 $671.72 / $1,394.70 / $1,549.67	Professional		$671.72	$1,394.70	$1,549.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $671.72 / $1,047.42 / $1,772.52	Facility		$671.72	$1,047.42	$1,772.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $877.24 / $1,255.58 / $1,329.28	Facility		$877.24	$1,255.58	$1,329.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.55 / $1,513.08 / $7,339.00	Facility		$814.55	$1,513.08	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,678.59 / $12,937.69 / $16,102.64	Facility		$10,678.59	$12,937.69	$16,102.64
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