Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,810.32 / $2,747.00 / $17,702.08	Facility		$1,810.32	$2,747.00	$17,702.08
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 $1,535.47 / $1,798.53 / $2,157.73	Professional		$1,535.47	$1,798.53	$2,157.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.39 / $1,555.73 / $1,998.35	Facility		$1,152.39	$1,555.73	$1,998.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,144.39 / $1,569.81 / $1,665.62	Facility		$1,144.39	$1,569.81	$1,665.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,152.39 / $1,646.28 / $7,090.00	Facility		$1,152.39	$1,646.28	$7,090.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $266.25 / $266.25 / $266.25	Facility	AS	$266.25	$266.25	$266.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00