Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.78 / $8,504.59 / $20,400.00	Facility		$1,202.78	$8,504.59	$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 $551.12 / $1,145.74 / $1,273.04	Professional		$551.12	$1,145.74	$1,273.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $551.12 / $861.81 / $1,492.99	Facility		$551.12	$861.81	$1,492.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $745.16 / $1,026.44 / $1,088.08	Facility		$745.16	$1,026.44	$1,088.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.15 / $1,262.32 / $7,339.00	Facility		$669.15	$1,262.32	$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 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00