Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.58 / $7,920.26 / $20,400.00	Facility		$2,031.58	$7,920.26	$20,400.00
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 $924.06 / $1,929.85 / $2,144.28	Professional		$924.06	$1,929.85	$2,144.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $958.04 / $1,487.18 / $2,637.03	Facility		$958.04	$1,487.18	$2,637.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,276.66 / $1,758.75 / $1,865.95	Facility		$1,276.66	$1,758.75	$1,865.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,086.28 / $2,141.60 / $6,437.00	Facility		$1,086.28	$2,141.60	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00