Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $25,898.99	Facility		$1,758.00	$7,920.26	$25,898.99
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 $1,814.23 / $2,126.26 / $2,549.44	Professional		$1,814.23	$2,126.26	$2,549.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $986.67 / $1,749.67 / $2,382.55	Facility		$986.67	$1,749.67	$2,382.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,335.74 / $1,876.67 / $1,976.50	Facility		$1,335.74	$1,876.67	$1,976.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,055.03 / $1,913.70 / $3,398.89	Facility		$1,055.03	$1,913.70	$3,398.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $317.47 / $317.47 / $317.47	Facility	AS	$317.47	$317.47	$317.47
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