Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,898.09 / $7,920.26 / $20,400.00	Facility		$1,898.09	$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 $1,800.34 / $2,108.78 / $2,529.92	Professional		$1,800.34	$2,108.78	$2,529.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.92 / $1,791.69 / $2,597.23	Facility		$1,333.92	$1,791.69	$2,597.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,335.28 / $1,815.70 / $1,979.85	Facility		$1,335.28	$1,815.70	$1,979.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,333.92 / $1,827.47 / $2,500.50	Facility		$1,333.92	$1,827.47	$2,500.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	AS	$314.41	$314.41	$314.41
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