Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.97 / $7,920.26 / $20,400.00	Facility		$1,290.97	$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 $1,103.46 / $1,292.51 / $1,550.64	Professional		$1,103.46	$1,292.51	$1,550.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $773.50 / $1,070.74 / $1,405.05	Facility		$773.50	$1,070.74	$1,405.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $792.89 / $1,097.46 / $1,187.24	Facility		$792.89	$1,097.46	$1,187.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.43 / $1,163.34 / $5,949.00	Facility		$807.43	$1,163.34	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $188.60 / $188.60 / $188.60	Facility	AS	$188.60	$188.60	$188.60
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