Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.85 / $7,920.26 / $20,400.00	Facility		$1,456.85	$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 $1,210.32 / $1,433.62 / $1,700.81	Professional		$1,210.32	$1,433.62	$1,700.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.53 / $1,255.67 / $1,683.99	Facility		$878.53	$1,255.67	$1,683.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $956.40 / $1,290.16 / $1,354.56	Facility		$956.40	$1,290.16	$1,354.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $878.53 / $1,290.30 / $1,723.92	Facility		$878.53	$1,290.30	$1,723.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $219.07 / $219.07 / $219.07	Facility	AS	$219.07	$219.07	$219.07
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