Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.82 / $7,920.26 / $20,400.00	Facility		$1,640.82	$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 $746.35 / $1,546.26 / $1,721.04	Professional		$746.35	$1,546.26	$1,721.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $746.35 / $1,156.83 / $1,892.85	Facility		$746.35	$1,156.83	$1,892.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $940.50 / $1,304.49 / $1,474.67	Facility		$940.50	$1,304.49	$1,474.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.17 / $1,617.57 / $6,437.00	Facility		$866.17	$1,617.57	$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