Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.37 / $9,324.73 / $14,120.42	Facility		$1,368.37	$9,324.73	$14,120.42
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 $666.48 / $1,392.21 / $1,546.90	Professional		$666.48	$1,392.21	$1,546.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.13 / $1,130.22 / $2,016.88	Facility		$691.13	$1,130.22	$2,016.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $975.72 / $1,295.54 / $1,428.44	Facility		$975.72	$1,295.54	$1,428.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.10 / $1,544.97 / $7,339.00	Facility		$813.10	$1,544.97	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,220.90 / $17,916.71 / $21,710.84	Facility	50	$13,220.90	$17,916.71	$21,710.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00