Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.00 / $3,150.00 / $14,393.00	Facility		$1,570.00	$3,150.00	$14,393.00
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 $990.00 / $1,100.00 / $2,726.00	Facility		$990.00	$1,100.00	$2,726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Facility		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $17,616.57 / $35,173.12	Facility		$401.00	$17,616.57	$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 $1,084.00 / $1,084.00 / $1,084.00	Facility		$1,084.00	$1,084.00	$1,084.00