Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.00 / $3,066.00 / $3,750.00	Facility		$1,297.00	$3,066.00	$3,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,692.00 / $1,692.00 / $2,495.00	Facility		$1,692.00	$1,692.00	$2,495.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,263.25 / $6,266.44	Facility		$200.00	$1,263.25	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $850.00 / $2,726.00	Facility		$850.00	$850.00	$2,726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,170.00 / $1,500.00	Facility		$900.00	$1,170.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,692.00 / $16,378.13 / $32,950.66	Facility		$1,692.00	$16,378.13	$32,950.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $1,550.00 / $1,597.00	Facility		$1,550.00	$1,550.00	$1,597.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,454.00 / $1,606.00	Facility		$1,084.00	$1,454.00	$1,606.00