Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.05 / $5,649.00 / $15,341.00	Facility		$1,588.05	$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 $668.07 / $1,390.10 / $1,544.55	Professional		$668.07	$1,390.10	$1,544.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.07 / $1,098.64 / $1,788.26	Facility		$668.07	$1,098.64	$1,788.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $857.96 / $1,227.84 / $1,423.08	Facility		$857.96	$1,227.84	$1,423.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.65 / $1,537.22 / $4,681.00	Facility		$783.65	$1,537.22	$4,681.00
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