Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.97 / $7,920.26 / $15,978.56	Facility		$1,172.97	$7,920.26	$15,978.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,117.80 / $1,309.78 / $1,571.36	Professional		$1,117.80	$1,309.78	$1,571.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $779.71 / $1,074.24 / $1,424.60	Facility		$779.71	$1,074.24	$1,424.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.02 / $1,116.22 / $1,206.00	Facility		$812.02	$1,116.22	$1,206.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.69 / $1,171.88 / $7,090.00	Facility		$792.69	$1,171.88	$7,090.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $191.22 / $191.22 / $191.22	Facility	AS	$191.22	$191.22	$191.22
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