Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.53 / $8,878.56 / $20,400.00	Facility		$1,357.53	$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 $688.75 / $1,438.64 / $1,598.49	Professional		$688.75	$1,438.64	$1,598.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $688.75 / $1,107.45 / $1,881.74	Facility		$688.75	$1,107.45	$1,881.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $907.37 / $1,305.42 / $1,369.48	Facility		$907.37	$1,305.42	$1,369.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.22 / $1,598.77 / $7,339.00	Facility		$840.22	$1,598.77	$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