Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.63 / $7,920.26 / $20,400.00	Facility		$1,201.63	$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 $1,021.69 / $1,196.73 / $1,435.73	Professional		$1,021.69	$1,196.73	$1,435.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.49 / $1,010.85 / $1,333.26	Facility		$758.49	$1,010.85	$1,333.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.91 / $1,041.18 / $1,117.56	Facility		$752.91	$1,041.18	$1,117.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.49 / $1,039.13 / $1,413.29	Facility		$758.49	$1,039.13	$1,413.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $178.66 / $178.66 / $178.66	Facility	AS	$178.66	$178.66	$178.66
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