Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.04 / $8,878.56 / $20,400.00	Facility		$2,065.04	$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 $938.94 / $1,956.19 / $2,173.54	Professional		$938.94	$1,956.19	$2,173.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $971.11 / $1,473.84 / $2,637.03	Facility		$971.11	$1,473.84	$2,637.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,280.05 / $1,768.80 / $1,867.29	Facility		$1,280.05	$1,768.80	$1,867.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.25 / $2,177.73 / $6,672.00	Facility		$1,102.25	$2,177.73	$6,672.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,678.59 / $12,937.69 / $19,565.63	Facility		$10,678.59	$12,937.69	$19,565.63
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