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 $2,978.42 / $3,492.78 / $4,185.43	Professional		$2,978.42	$3,492.78	$4,185.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,150.17 / $2,908.42 / $3,864.10	Facility		$2,150.17	$2,908.42	$3,864.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,247.11 / $3,041.17 / $3,287.69	Facility		$2,247.11	$3,041.17	$3,287.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,125.76 / $2,972.16 / $4,174.66	Facility		$2,125.76	$2,972.16	$4,174.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $524.96 / $524.96 / $524.96	Facility	AS	$524.96	$524.96	$524.96
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