Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.07 / $7,920.26 / $20,400.00	Facility		$1,195.07	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.90 / $1,192.29 / $1,430.41	Professional		$1,017.90	$1,192.29	$1,430.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $756.57 / $989.52 / $1,324.35	Facility		$756.57	$989.52	$1,324.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.91 / $1,024.42 / $1,108.18	Facility		$752.91	$1,024.42	$1,108.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $756.57 / $1,010.88 / $1,402.14	Facility		$756.57	$1,010.88	$1,402.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $176.26 / $176.26 / $176.26	Facility	AS	$176.26	$176.26	$176.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00