Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.57 / $7,920.26 / $21,735.00	Facility		$1,245.57	$7,920.26	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $1,348.00 / $1,348.00	Facility		$1,348.00	$1,348.00	$1,348.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.21 / $1,306.80 / $1,632.97	Professional		$711.21	$1,306.80	$1,632.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.26 / $1,083.72 / $1,677.43	Facility		$660.26	$1,083.72	$1,677.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.34 / $1,287.07 / $1,408.34	Facility		$831.34	$1,287.07	$1,408.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.21 / $1,265.42 / $9,059.00	Facility		$711.21	$1,265.42	$9,059.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
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