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 $1,400.00 / $1,692.00 / $2,495.00	Facility		$1,400.00	$1,692.00	$2,495.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,828.00 / $6,266.44	Facility		$200.00	$1,828.00	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,180.00 / $3,180.00 / $3,180.00	Facility		$3,180.00	$3,180.00	$3,180.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $1,685.00 / $2,600.00	Facility		$1,265.00	$1,685.00	$2,600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,495.00 / $17,616.57 / $35,173.12	Facility		$2,495.00	$17,616.57	$35,173.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $1,987.00 / $1,987.00	Facility		$1,987.00	$1,987.00	$1,987.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,454.00 / $3,872.00	Facility		$1,084.00	$1,454.00	$3,872.00