Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.34 / $7,920.26 / $20,400.00	Facility		$1,153.34	$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 $599.84 / $1,249.04 / $1,387.82	Professional		$599.84	$1,249.04	$1,387.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.84 / $869.77 / $1,466.15	Facility		$599.84	$869.77	$1,466.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $703.68 / $958.92 / $1,039.83	Facility		$703.68	$958.92	$1,039.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.49 / $1,216.55 / $6,437.00	Facility		$670.49	$1,216.55	$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 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00