Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.20 / $4,962.67 / $15,341.00	Facility		$1,104.20	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.68 / $1,255.29 / $1,505.99	Professional		$1,071.68	$1,255.29	$1,505.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $737.80 / $1,039.11 / $1,367.28	Facility		$737.80	$1,039.11	$1,367.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $774.72 / $1,061.95 / $1,151.06	Facility		$774.72	$1,061.95	$1,151.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.50 / $1,116.16 / $2,919.00	Facility		$741.50	$1,116.16	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $181.94 / $181.94 / $181.94	Facility	AS	$181.94	$181.94	$181.94
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