Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.24 / $8,878.56 / $20,400.00	Facility		$1,553.24	$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 $708.72 / $1,475.95 / $1,639.94	Professional		$708.72	$1,475.95	$1,639.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.70 / $1,138.43 / $2,007.63	Facility		$732.70	$1,138.43	$2,007.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $974.33 / $1,342.68 / $1,415.71	Facility		$974.33	$1,342.68	$1,415.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $1,639.73 / $7,339.00	Facility		$853.00	$1,639.73	$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