Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.92 / $7,920.26 / $16,670.45	Facility		$1,526.92	$7,920.26	$16,670.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,292.02 / $1,514.73 / $1,815.62	Professional		$1,292.02	$1,514.73	$1,815.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $970.65 / $1,340.44 / $1,892.85	Facility		$970.65	$1,340.44	$1,892.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $969.48 / $1,340.67 / $1,413.70	Facility		$969.48	$1,340.67	$1,413.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $970.65 / $1,429.06 / $1,892.85	Facility		$970.65	$1,429.06	$1,892.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $226.61 / $226.61 / $226.61	Facility	AS	$226.61	$226.61	$226.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00