Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.49 / $7,920.26 / $13,320.00	Facility		$1,444.49	$7,920.26	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.10 / $1,583.41 / $1,893.01	Professional		$1,347.10	$1,583.41	$1,893.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.41 / $1,403.82 / $1,997.44	Facility		$1,012.41	$1,403.82	$1,997.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,020.84 / $1,411.69 / $1,480.70	Facility		$1,020.84	$1,411.69	$1,480.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,012.41 / $1,507.06 / $1,997.44	Facility		$1,012.41	$1,507.06	$1,997.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $237.53 / $237.53 / $237.53	Facility	AS	$237.53	$237.53	$237.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00