Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,247.31 / $7,920.26 / $23,856.49	Facility		$3,247.31	$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 $3,060.36 / $3,597.72 / $4,300.58	Professional		$3,060.36	$3,597.72	$4,300.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.60 / $2,995.84 / $4,023.90	Facility		$2,268.60	$2,995.84	$4,023.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,350.79 / $3,199.92 / $3,420.35	Facility		$2,350.79	$3,199.92	$3,420.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,268.60 / $3,065.76 / $4,305.95	Facility		$2,268.60	$3,065.76	$4,305.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $539.60 / $539.60 / $539.60	Facility	AS	$539.60	$539.60	$539.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,843.42 / $46,841.13 / $63,939.04	Facility		$15,843.42	$46,841.13	$63,939.04
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