Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.70 / $11,266.00 / $24,945.53	Facility		$1,436.70	$11,266.00	$24,945.53
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 $1,357.94 / $1,590.59 / $1,908.25	Professional		$1,357.94	$1,590.59	$1,908.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $813.52 / $1,299.07 / $1,976.16	Facility		$813.52	$1,299.07	$1,976.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.24 / $1,377.52 / $1,469.31	Facility		$963.24	$1,377.52	$1,469.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $886.96 / $1,420.86 / $2,748.00	Facility		$886.96	$1,420.86	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $234.03 / $234.03 / $234.03	Facility	AS	$234.03	$234.03	$234.03
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 $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00