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 $2,913.61 / $3,419.27 / $4,094.36	Professional		$2,913.61	$3,419.27	$4,094.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,115.06 / $2,847.66 / $3,837.75	Facility		$2,115.06	$2,847.66	$3,837.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,221.92 / $3,005.80 / $3,205.28	Facility		$2,221.92	$3,005.80	$3,205.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,115.06 / $2,921.76 / $4,072.54	Facility		$2,115.06	$2,921.76	$4,072.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $514.26 / $514.26 / $514.26	Facility	AS	$514.26	$514.26	$514.26
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