Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.68 / $2,747.00 / $13,320.00	Facility		$1,197.68	$2,747.00	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.06 / $1,128.56 / $2,060.69	Professional		$831.06	$1,128.56	$2,060.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.87 / $1,087.82 / $2,094.66	Facility		$613.87	$1,087.82	$2,094.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $931.97 / $1,613.04 / $1,800.29	Facility		$931.97	$1,613.04	$1,800.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.73 / $1,476.53 / $5,478.00	Facility		$663.73	$1,476.53	$5,478.00
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