Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.43 / $4,962.67 / $15,341.00	Facility		$1,369.43	$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 $1,156.02 / $1,354.08 / $1,624.51	Professional		$1,156.02	$1,354.08	$1,624.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.32 / $1,124.70 / $1,519.80	Facility		$831.32	$1,124.70	$1,519.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.29 / $1,190.58 / $1,253.92	Facility		$866.29	$1,190.58	$1,253.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $838.85 / $1,251.34 / $2,919.00	Facility		$838.85	$1,251.34	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $201.38 / $201.38 / $201.38	Facility	AS	$201.38	$201.38	$201.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,830.35	Facility		$2,155.00	$13,246.00	$26,830.35