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 / $23,856.49	Facility		$2,747.00	$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 $2,508.85 / $2,942.65 / $3,525.57	Professional		$2,508.85	$2,942.65	$3,525.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,823.83 / $2,450.23 / $3,277.60	Facility		$1,823.83	$2,450.23	$3,277.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,899.24 / $2,577.42 / $2,773.80	Facility		$1,899.24	$2,577.42	$2,773.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,823.83 / $2,518.56 / $3,525.93	Facility		$1,823.83	$2,518.56	$3,525.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $440.00 / $440.00 / $440.00	Facility	AS	$440.00	$440.00	$440.00
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