Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.83 / $4,962.67 / $15,341.00	Facility		$1,223.83	$4,962.67	$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 $678.38 / $1,273.63 / $1,554.69	Professional		$678.38	$1,273.63	$1,554.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $628.61 / $1,052.98 / $1,585.30	Facility		$628.61	$1,052.98	$1,585.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $803.60 / $1,215.68 / $1,339.33	Facility		$803.60	$1,215.68	$1,339.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $678.70 / $1,204.88 / $3,065.00	Facility		$678.70	$1,204.88	$3,065.00
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