Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.78 / $7,920.26 / $23,856.49	Facility		$2,398.78	$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 $2,019.77 / $2,371.08 / $2,838.29	Professional		$2,019.77	$2,371.08	$2,838.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.93 / $1,985.82 / $2,681.10	Facility		$1,489.93	$1,985.82	$2,681.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,559.61 / $2,119.58 / $2,252.54	Facility		$1,559.61	$2,119.58	$2,252.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,486.20 / $2,072.16 / $2,863.48	Facility		$1,486.20	$2,072.16	$2,863.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $359.40 / $359.40 / $359.40	Facility	AS	$359.40	$359.40	$359.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
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