Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.95 / $7,920.26 / $13,320.00	Facility		$1,488.95	$7,920.26	$13,320.00
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 $1,422.62 / $1,666.35 / $1,999.15	Professional		$1,422.62	$1,666.35	$1,999.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $910.03 / $1,365.84 / $1,820.70	Facility		$910.03	$1,365.84	$1,820.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $969.91 / $1,416.69 / $1,532.96	Facility		$969.91	$1,416.69	$1,532.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.56 / $1,496.40 / $5,217.00	Facility		$983.56	$1,496.40	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.90 / $241.90 / $241.90	Facility	AS	$241.90	$241.90	$241.90
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00