Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $3,261.85 / $3,827.26 / $4,583.72	Professional		$3,261.85	$3,827.26	$4,583.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,353.88 / $3,187.42 / $4,310.35	Facility		$2,353.88	$3,187.42	$4,310.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,515.04 / $3,392.21 / $3,634.75	Facility		$2,515.04	$3,392.21	$3,634.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,353.88 / $3,296.88 / $4,601.99	Facility		$2,353.88	$3,296.88	$4,601.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $579.24 / $579.24 / $579.24	Facility	AS	$579.24	$579.24	$579.24
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