Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,325.48 / $7,920.26 / $20,400.00	Facility		$2,325.48	$7,920.26	$20,400.00
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 $1,940.88 / $2,276.07 / $2,727.43	Professional		$1,940.88	$2,276.07	$2,727.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.76 / $1,820.83 / $2,899.83	Facility		$1,348.76	$1,820.83	$2,899.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,383.25 / $1,912.85 / $2,175.48	Facility		$1,383.25	$1,912.85	$2,175.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,281.32 / $1,888.26 / $2,778.53	Facility		$1,281.32	$1,888.26	$2,778.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $348.37 / $348.37 / $348.37	Facility	AS	$348.37	$348.37	$348.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $66,162.42 / $78,393.52	Facility		$44,945.62	$66,162.42	$78,393.52
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