Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.56 / $7,920.26 / $20,400.00	Facility		$1,521.56	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $696.28 / $1,443.72 / $1,605.58	Professional		$696.28	$1,443.72	$1,605.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $716.70 / $1,179.08 / $2,239.17	Facility		$716.70	$1,179.08	$2,239.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $938.48 / $1,296.45 / $1,623.05	Facility		$938.48	$1,296.45	$1,623.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.18 / $1,601.99 / $6,437.00	Facility		$843.18	$1,601.99	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $15,220.55	Facility		$5,698.81	$7,379.02	$15,220.55
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