Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.68 / $4,962.67 / $15,341.00	Facility		$1,375.68	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,301.54 / $1,524.52 / $1,828.99	Professional		$1,301.54	$1,524.52	$1,828.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $965.14 / $1,265.42 / $1,675.35	Facility		$965.14	$1,265.42	$1,675.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $959.31 / $1,315.88 / $1,407.00	Facility		$959.31	$1,315.88	$1,407.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $965.14 / $1,380.78 / $2,919.00	Facility		$965.14	$1,380.78	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $224.42 / $224.42 / $224.42	Facility	AS	$224.42	$224.42	$224.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00