Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.13 / $7,920.26 / $20,400.00	Facility		$1,497.13	$7,920.26	$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 $1,409.08 / $1,650.49 / $1,980.12	Professional		$1,409.08	$1,650.49	$1,980.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.01 / $1,371.44 / $1,822.40	Facility		$1,056.01	$1,371.44	$1,822.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,043.13 / $1,436.48 / $1,528.94	Facility		$1,043.13	$1,436.48	$1,528.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.01 / $1,504.66 / $5,949.00	Facility		$1,056.01	$1,504.66	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $243.97 / $243.97 / $243.97	Facility	AS	$243.97	$243.97	$243.97
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