Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,258.90 / $7,920.26 / $23,856.49	Facility		$3,258.90	$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 $3,037.56 / $3,570.44 / $4,268.54	Professional		$3,037.56	$3,570.44	$4,268.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,208.17 / $2,973.52 / $4,014.36	Facility		$2,208.17	$2,973.52	$4,014.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,331.90 / $3,213.17 / $3,361.39	Facility		$2,331.90	$3,213.17	$3,361.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,192.40 / $3,001.68 / $4,254.46	Facility		$2,192.40	$3,001.68	$4,254.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $535.77 / $535.77 / $535.77	Facility	AS	$535.77	$535.77	$535.77
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