Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $20,400.00	Facility		$1,924.00	$7,920.26	$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 $2,212.50 / $2,591.56 / $3,109.13	Professional		$2,212.50	$2,591.56	$3,109.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.06 / $2,152.64 / $2,860.25	Facility		$1,498.06	$2,152.64	$2,860.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,636.16 / $2,239.81 / $2,397.26	Facility		$1,636.16	$2,239.81	$2,397.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,498.06 / $2,152.64 / $3,042.82	Facility		$1,498.06	$2,152.64	$3,042.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $381.46 / $381.46 / $381.46	Facility	AS	$381.46	$381.46	$381.46
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00