Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.85 / $7,920.26 / $20,400.00	Facility		$1,118.85	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $953.96 / $1,117.39 / $1,340.55	Professional		$953.96	$1,117.39	$1,340.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $678.23 / $925.66 / $1,235.05	Facility		$678.23	$925.66	$1,235.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $705.92 / $956.30 / $1,026.44	Facility		$705.92	$956.30	$1,026.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.39 / $1,022.86 / $5,949.00	Facility		$708.39	$1,022.86	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $163.69 / $163.69 / $163.69	Facility	AS	$163.69	$163.69	$163.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00