Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.36 / $7,920.26 / $20,400.00	Facility		$1,303.36	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.17 / $1,370.95 / $1,843.32	Professional		$807.17	$1,370.95	$1,843.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.79 / $1,170.40 / $1,824.34	Facility		$721.79	$1,170.40	$1,824.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $882.99 / $1,397.77 / $1,591.25	Facility		$882.99	$1,397.77	$1,591.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.55 / $1,386.10 / $7,298.55	Facility		$749.55	$1,386.10	$7,298.55
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00