Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.63 / $7,920.26 / $20,400.00	Facility		$1,590.63	$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 $1,348.80 / $1,579.88 / $1,895.40	Professional		$1,348.80	$1,579.88	$1,895.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $960.18 / $1,311.30 / $1,750.15	Facility		$960.18	$1,311.30	$1,750.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $998.07 / $1,372.16 / $1,461.27	Facility		$998.07	$1,372.16	$1,461.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.94 / $1,438.51 / $5,217.00	Facility		$996.94	$1,438.51	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $234.03 / $234.03 / $234.03	Facility	AS	$234.03	$234.03	$234.03
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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00