Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.83 / $7,074.00 / $20,400.00	Facility		$1,305.83	$7,074.00	$20,400.00
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 $1,109.58 / $1,299.67 / $1,559.24	Professional		$1,109.58	$1,299.67	$1,559.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $1,076.32 / $1,415.25	Facility		$809.00	$1,076.32	$1,415.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $808.15 / $1,112.86 / $1,197.96	Facility		$808.15	$1,112.86	$1,197.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $823.17 / $1,167.10 / $5,217.00	Facility		$823.17	$1,167.10	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.35 / $190.35 / $190.35	Facility	AS	$190.35	$190.35	$190.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$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