Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,424.31 / $5,116.62 / $20,400.00	Facility		$2,424.31	$5,116.62	$20,400.00
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 $2,281.90 / $2,678.00 / $3,206.64	Professional		$2,281.90	$2,678.00	$3,206.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,724.83 / $2,359.11 / $3,046.93	Facility		$1,724.83	$2,359.11	$3,046.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,727.25 / $2,379.17 / $2,498.42	Facility		$1,727.25	$2,379.17	$2,498.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,724.83 / $2,492.21 / $4,296.42	Facility		$1,724.83	$2,492.21	$4,296.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $399.70 / $399.70 / $399.70	Facility	AS	$399.70	$399.70	$399.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
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