Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.97 / $8,878.56 / $20,400.00	Facility		$1,867.97	$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 $848.68 / $1,769.50 / $1,966.11	Professional		$848.68	$1,769.50	$1,966.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.43 / $1,379.68 / $2,387.12	Facility		$878.43	$1,379.68	$2,387.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.55 / $1,612.69 / $1,692.42	Facility		$1,170.55	$1,612.69	$1,692.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.58 / $1,968.96 / $7,339.00	Facility		$996.58	$1,968.96	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,292.66 / $51,873.41 / $66,725.47	Facility		$36,292.66	$51,873.41	$66,725.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00