Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.80 / $7,920.26 / $20,400.00	Facility		$1,270.80	$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 $1,045.45 / $1,245.44 / $1,469.12	Professional		$1,045.45	$1,245.44	$1,469.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $806.52 / $1,037.26 / $1,734.02	Facility		$806.52	$1,037.26	$1,734.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $824.85 / $1,120.82 / $1,187.28	Facility		$824.85	$1,120.82	$1,187.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $806.52 / $1,084.38 / $1,508.54	Facility		$806.52	$1,084.38	$1,508.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $191.77 / $191.77 / $191.77	Facility	AS	$191.77	$191.77	$191.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,914.95 / $21,418.17 / $26,781.36	Facility		$8,914.95	$21,418.17	$26,781.36
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