Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.18 / $8,878.56 / $20,400.00	Facility		$1,615.18	$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 $710.85 / $1,486.19 / $1,651.32	Professional		$710.85	$1,486.19	$1,651.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $737.79 / $1,245.20 / $2,270.50	Facility		$737.79	$1,245.20	$2,270.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,100.78 / $1,382.98 / $1,605.99	Facility		$1,100.78	$1,382.98	$1,605.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $1,652.57 / $7,339.00	Facility		$853.00	$1,652.57	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
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