Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,014.27 / $7,920.26 / $20,400.00	Facility		$2,014.27	$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 $912.05 / $1,885.22 / $2,103.14	Professional		$912.05	$1,885.22	$2,103.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.05 / $1,413.68 / $2,226.07	Facility		$912.05	$1,413.68	$2,226.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.83 / $1,579.86 / $1,806.32	Facility		$1,110.83	$1,579.86	$1,806.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.12 / $1,996.48 / $6,437.00	Facility		$1,005.12	$1,996.48	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,678.59 / $12,937.69 / $16,102.64	Facility		$10,678.59	$12,937.69	$16,102.64
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