Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.00 / $7,920.26 / $20,400.00	Facility		$1,541.00	$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 $1,267.52 / $1,509.30 / $1,781.19	Professional		$1,267.52	$1,509.30	$1,781.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.58 / $1,256.74 / $2,101.80	Facility		$977.58	$1,256.74	$2,101.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $996.24 / $1,358.27 / $1,437.52	Facility		$996.24	$1,358.27	$1,437.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $944.32 / $1,315.02 / $1,829.47	Facility		$944.32	$1,315.02	$1,829.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $232.50 / $232.50 / $232.50	Facility	AS	$232.50	$232.50	$232.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,212.56 / $21,418.17 / $26,781.36	Facility		$7,212.56	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00