Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,493.08 / $7,920.26 / $23,856.49	Facility		$3,493.08	$7,920.26	$23,856.49
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 $3,252.45 / $3,821.85 / $4,570.51	Professional		$3,252.45	$3,821.85	$4,570.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,362.81 / $3,182.46 / $4,294.20	Facility		$2,362.81	$3,182.46	$4,294.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,500.50 / $3,433.08 / $3,640.11	Facility		$2,500.50	$3,433.08	$3,640.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,362.81 / $3,209.04 / $4,632.02	Facility		$2,362.81	$3,209.04	$4,632.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $584.37 / $584.37 / $584.37	Facility	AS	$584.37	$584.37	$584.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00