Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.23 / $7,920.26 / $20,400.00	Facility		$1,712.23	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,417.10 / $1,660.47 / $1,991.38	Professional		$1,417.10	$1,660.47	$1,991.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.34 / $1,467.22 / $1,948.86	Facility		$1,050.34	$1,467.22	$1,948.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,082.13 / $1,494.31 / $1,635.47	Facility		$1,082.13	$1,494.31	$1,635.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.34 / $1,494.00 / $2,004.52	Facility		$1,050.34	$1,494.00	$2,004.52
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $252.38 / $252.38 / $252.38	Facility	AS	$252.38	$252.38	$252.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
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