Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.45 / $7,920.26 / $20,400.00	Facility		$1,262.45	$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 $577.29 / $1,199.96 / $1,333.29	Professional		$577.29	$1,199.96	$1,333.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $577.29 / $901.14 / $1,534.64	Facility		$577.29	$901.14	$1,534.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $770.77 / $1,065.03 / $1,140.33	Facility		$770.77	$1,065.03	$1,140.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $1,308.96 / $6,437.00	Facility		$691.00	$1,308.96	$6,437.00
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 / $8,565.94 / $12,786.00	Facility		$1,981.00	$8,565.94	$12,786.00