Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.42 / $8,878.56 / $20,400.00	Facility		$2,020.42	$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 $913.80 / $1,882.26 / $2,107.17	Professional		$913.80	$1,882.26	$2,107.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $913.80 / $1,416.39 / $2,166.83	Facility		$913.80	$1,416.39	$2,166.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,086.73 / $1,527.60 / $1,812.35	Facility		$1,086.73	$1,527.60	$1,812.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.15 / $1,954.43 / $7,339.00	Facility		$1,066.15	$1,954.43	$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 / $8,762.09 / $12,786.00	Facility		$1,981.00	$8,762.09	$12,786.00