Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.83 / $5,116.62 / $20,400.00	Facility		$1,126.83	$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 $961.81 / $1,127.50 / $1,352.68	Professional		$961.81	$1,127.50	$1,352.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.73 / $921.60 / $1,219.75	Facility		$697.73	$921.60	$1,219.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.38 / $950.73 / $1,033.14	Facility		$691.38	$950.73	$1,033.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.91 / $1,013.97 / $5,949.00	Facility		$709.91	$1,013.97	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $164.36 / $164.36 / $164.36	Facility	AS	$164.36	$164.36	$164.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00