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 / $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 $840.00 / $1,030.00 / $1,500.00	Facility		$840.00	$1,030.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,957.00 / $24,290.63 / $35,173.12	Facility		$14,957.00	$24,290.63	$35,173.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $1,550.00 / $1,550.00	Facility		$1,550.00	$1,550.00	$1,550.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,454.00 / $4,765.00	Facility		$1,008.00	$1,454.00	$4,765.00