Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,865.00 / $2,865.00 / $4,066.00	Facility		$2,865.00	$2,865.00	$4,066.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $401.00 / $1,947.00	Facility		$350.00	$401.00	$1,947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $322.00 / $6,266.44	Facility		$200.00	$322.00	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,726.00 / $2,726.00 / $2,726.00	Facility		$2,726.00	$2,726.00	$2,726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,200.00	Facility		$1,800.00	$1,800.00	$2,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $16,991.25 / $32,950.66	Facility		$401.00	$16,991.25	$32,950.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,553.00 / $6,272.00	Facility		$1,550.00	$4,553.00	$6,272.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,727.00 / $5,090.00	Facility		$1,084.00	$1,727.00	$5,090.00