Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.92 / $8,878.56 / $20,400.00	Facility		$1,050.92	$8,878.56	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.11 / $1,004.30 / $1,116.33	Professional		$484.11	$1,004.30	$1,116.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.92 / $750.37 / $1,339.34	Facility		$490.92	$750.37	$1,339.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.78 / $895.12 / $952.07	Facility		$645.78	$895.12	$952.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.90 / $1,101.72 / $7,339.00	Facility		$573.90	$1,101.72	$7,339.00
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