Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.43 / $6,389.54 / $20,400.00	Facility		$1,473.43	$6,389.54	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,254.17 / $1,469.03 / $1,762.42	Professional		$1,254.17	$1,469.03	$1,762.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $934.70 / $1,261.84 / $1,810.47	Facility		$934.70	$1,261.84	$1,810.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $916.67 / $1,258.26 / $1,356.08	Facility		$916.67	$1,258.26	$1,356.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.70 / $1,317.85 / $1,810.47	Facility		$934.70	$1,317.85	$1,810.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $215.47 / $215.47 / $215.47	Facility	AS	$215.47	$215.47	$215.47
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 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00