Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $26,104.35	Facility		$2,528.00	$7,920.26	$26,104.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,213.06 / $2,597.63 / $3,109.91	Professional		$2,213.06	$2,597.63	$3,109.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,676.71 / $2,203.17 / $2,921.45	Facility		$1,676.71	$2,203.17	$2,921.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,676.37 / $2,311.50 / $2,418.69	Facility		$1,676.37	$2,311.50	$2,418.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,676.71 / $2,285.28 / $3,074.57	Facility		$1,676.71	$2,285.28	$3,074.57
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $388.23 / $388.23 / $388.23	Facility	AS	$388.23	$388.23	$388.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00