Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.50 / $9,972.00 / $20,400.00	Facility		$1,420.50	$9,972.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.23 / $1,342.22 / $1,491.35	Professional		$645.23	$1,342.22	$1,491.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.91 / $1,028.79 / $1,784.56	Facility		$658.91	$1,028.79	$1,784.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $875.01 / $1,210.02 / $1,279.03	Facility		$875.01	$1,210.02	$1,279.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.90 / $1,497.59 / $8,747.00	Facility		$783.90	$1,497.59	$8,747.00
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