Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.32 / $7,920.26 / $17,674.08	Facility		$1,434.32	$7,920.26	$17,674.08
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 $1,361.54 / $1,594.81 / $1,913.32	Professional		$1,361.54	$1,594.81	$1,913.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $964.79 / $1,308.96 / $1,720.40	Facility		$964.79	$1,308.96	$1,720.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $983.05 / $1,345.81 / $1,461.27	Facility		$983.05	$1,345.81	$1,461.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.79 / $1,319.36 / $1,852.64	Facility		$964.79	$1,319.36	$1,852.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $232.29 / $232.29 / $232.29	Facility	AS	$232.29	$232.29	$232.29
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