Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.54 / $5,649.00 / $15,341.00	Facility		$1,879.54	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.71 / $1,782.25 / $1,980.28	Professional		$858.71	$1,782.25	$1,980.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.71 / $1,331.00 / $2,095.56	Facility		$858.71	$1,331.00	$2,095.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,053.01 / $1,564.80 / $1,695.77	Facility		$1,053.01	$1,564.80	$1,695.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.61 / $1,874.96 / $4,681.00	Facility		$943.61	$1,874.96	$4,681.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $316.70 / $316.70 / $316.70	Facility	80	$316.70	$316.70	$316.70
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