Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.58 / $7,920.26 / $24,275.79	Facility		$2,149.58	$7,920.26	$24,275.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,823.95 / $2,136.42 / $2,563.11	Professional		$1,823.95	$2,136.42	$2,563.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,366.25 / $1,814.62 / $2,356.19	Facility		$1,366.25	$1,814.62	$2,356.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,349.82 / $1,852.55 / $1,978.51	Facility		$1,349.82	$1,852.55	$1,978.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,366.25 / $1,939.98 / $8,647.00	Facility		$1,366.25	$1,939.98	$8,647.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $316.16 / $316.16 / $316.16	Facility	AS	$316.16	$316.16	$316.16
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 / $17,192.00 / $26,830.35	Facility		$2,912.00	$17,192.00	$26,830.35