Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.74 / $7,920.26 / $13,746.00	Facility		$1,439.74	$7,920.26	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.67 / $1,428.63 / $1,713.95	Professional		$1,219.67	$1,428.63	$1,713.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $918.46 / $1,185.44 / $1,593.75	Facility		$918.46	$1,185.44	$1,593.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $1,250.22 / $1,325.93	Facility		$910.86	$1,250.22	$1,325.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.84 / $1,316.69 / $3,397.00	Facility		$923.84	$1,316.69	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.96 / $212.96 / $212.96	Facility	AS	$212.96	$212.96	$212.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00