Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.70 / $5,649.00 / $15,341.00	Facility		$1,443.70	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.02 / $1,373.18 / $1,525.75	Professional		$660.02	$1,373.18	$1,525.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.69 / $1,032.24 / $1,854.90	Facility		$681.69	$1,032.24	$1,854.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $902.14 / $1,229.40 / $1,313.87	Facility		$902.14	$1,229.40	$1,313.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.15 / $1,517.67 / $4,681.00	Facility		$774.15	$1,517.67	$4,681.00
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