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 / $600.00 / $4,453.00	Facility		$350.00	$600.00	$4,453.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,263.25 / $2,932.00	Facility		$200.00	$1,263.25	$2,932.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $730.00 / $2,726.00	Facility		$730.00	$730.00	$2,726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,096.00 / $1,800.00	Facility		$350.00	$1,096.00	$1,800.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $16,378.13 / $32,950.66	Facility		$600.00	$16,378.13	$32,950.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $3,280.00 / $6,272.00	Facility		$1,550.00	$3,280.00	$6,272.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,723.00 / $5,090.00	Facility		$1,084.00	$1,723.00	$5,090.00