Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.71 / $7,920.26 / $15,978.56	Facility		$1,555.71	$7,920.26	$15,978.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,471.51 / $1,723.61 / $2,067.84	Professional		$1,471.51	$1,723.61	$2,067.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $813.83 / $1,406.17 / $1,902.30	Facility		$813.83	$1,406.17	$1,902.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,085.28 / $1,495.44 / $1,591.92	Facility		$1,085.28	$1,495.44	$1,591.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.88 / $1,538.00 / $3,865.00	Facility		$922.88	$1,538.00	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $252.93 / $252.93 / $252.93	Facility	AS	$252.93	$252.93	$252.93
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 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00