Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.99 / $7,920.26 / $20,400.00	Facility		$1,749.99	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $800.97 / $1,660.41 / $1,846.99	Professional		$800.97	$1,660.41	$1,846.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.97 / $1,221.26 / $1,889.08	Facility		$800.97	$1,221.26	$1,889.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,037.52 / $1,490.08 / $1,579.86	Facility		$1,037.52	$1,490.08	$1,579.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.27 / $1,641.09 / $2,001.09	Facility		$824.27	$1,641.09	$2,001.09
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