Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.63 / $5,649.00 / $15,341.00	Facility		$1,118.63	$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 $515.40 / $1,064.65 / $1,188.48	Professional		$515.40	$1,064.65	$1,188.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.52 / $916.78 / $1,661.00	Facility		$528.52	$916.78	$1,661.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $828.32 / $990.71 / $1,220.74	Facility		$828.32	$990.71	$1,220.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.79 / $1,175.58 / $4,681.00	Facility		$621.79	$1,175.58	$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 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00